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Case Reports
. 2011;64(2):94-6.
doi: 10.5173/ceju.2011.02.art11. Epub 2011 Jun 2.

Acute urinary retention in a patient with extended cystitis glandularis

Jerzy Michajłowski  1 , Marcin Matuszewski  1 , Jakub Kłącz  1 , Artur Gibas  1 , Wojciech Biernat  2 , Kazimierz Krajka  1
Affiliations
Case Reports

Acute urinary retention in a patient with extended cystitis glandularis

Jerzy Michajłowski et al. Cent European J Urol. 2011.

Abstract

Cystitis glandularis (CG) is defined as glandular metaplasia of bladder urothelium. In most cases the course of CG is asymptomatic. However, some patients complain of hematuria and lower urinary tract symptoms (LUTS) of varying degrees. We present a case of 45-year-old man with an extensive CG causing acute urinary retention. Although it was initially treated as an infection, prompt ultrasound and cystoscopy helped to establish the diagnosis. Transurethral resection of the cyst with biopsy of the bladder mucosa was then performed. Immediately after surgery the patient noticed significant improvement in urine passing. During the 2-month follow-up there was no relapse.

Keywords: LUTS; cystitis glandularis; urinary retention.

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Figures

Fig. 1
Fig. 1
Ultrasound picture of the bladder.
Fig. 2
Fig. 2
Urography.
Fig. 3
Fig. 3
Cystoscopy (bladder neck).
Fig. 4
Fig. 4
Cystoscopy (bladder mucosa).
Fig. 5
Fig. 5
Pathological picture: cystitis glandularis of the typical type. A. The lesion is well circumscribed in the edematous and inflamed vesical mucosa and contains some cystically dilated structures. B. Larger magnification shows columnar lining cells devoid of mucus and goblet cells.
See this image and copyright information in PMC

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