The role of steroid treatment in intractable cystitis glandularis: A case report and literature review

Authors

  • Ozgur Haki Yuksel Fatih Sultan Mehmet Research & Training Hospital, Dept. of Urology, Istanbul, Turkey
  • Ahmet Urkmez Fatih Sultan Mehmet Research & Training Hospital, Dept. of Urology, Istanbul, Turkey
  • Tibet Erdogru Memorial Atasehir Hospital, Dept. of Urology, Istanbul, Turkey
  • Ayhan Verit Fatih Sultan Mehmet Research & Training Hospital, Dept. of Urology, Istanbul, Turkey

DOI:

https://doi.org/10.5489/cuaj.2636

Keywords:

Cystitis glandularis, oral steroid treatment, hydronephrosis, cystectomy

Abstract

Cystitis glandularis is a proliferative disease of the urinary bladder epithelium. It is rare in children. We report a case of a 23-yearold female with intractable macroscopic hematuria and severe irritative bladder symptoms persisting for 13 years. The patient, who had undergone open and endoscopic bladder surgery at various medical centres, is currently being followed up at our clinic. Cystoscopy revealed multiple edematous papillary tumours on the bladder neck, trigone, and lateral wall on both sides and she underwent transurethral resection of the bladder tumour. The pathological diagnosis was cystitis glandularis in accordance with the histopathological reports obtained from the other medical centres. Her condition was resistant to transurethral resection, partial cystectomy, intravesical mitomycin, and bacillus Calmette-Guerin (BCG) treatment; it eventually could have affected the upper urinary tract. Oral steroid treatment was given for 6 months; after treatment, her symptoms improved and the cystoscopy revealed a dramatic improvement in her condition.

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Published

2015-05-13

How to Cite

Yuksel, O. H., Urkmez, A., Erdogru, T., & Verit, A. (2015). The role of steroid treatment in intractable cystitis glandularis: A case report and literature review. Canadian Urological Association Journal, 9(5-6), E306–9. https://doi.org/10.5489/cuaj.2636

Issue

Section

Case Report