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Eosinophilic cystitis with recurrent urinary retention: case report

Eosinophilic cystitis is a rare inflammatory disease of the bladder whose origin, pathogenesis, and treatment are unknown. Frequency, dysuria, and hematuria are frequent symptoms. Here, we report a rare occurrence of recurrent urinary retention and repetitive catheterization. A 67-year-old male pres...

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Autor principal: Park, Hongzoo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367453/
https://www.ncbi.nlm.nih.gov/pubmed/28357204
http://dx.doi.org/10.2147/RRU.S129490
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author Park, Hongzoo
author_facet Park, Hongzoo
author_sort Park, Hongzoo
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description Eosinophilic cystitis is a rare inflammatory disease of the bladder whose origin, pathogenesis, and treatment are unknown. Frequency, dysuria, and hematuria are frequent symptoms. Here, we report a rare occurrence of recurrent urinary retention and repetitive catheterization. A 67-year-old male presented with acute urinary retention and intermittent gross hematuria of 2 weeks duration. Urethral catheterization followed by a trial without catheter, was successful. Complete blood count showed presence of eosinophils (eosinophilia) and computed tomography of kidneys, ureter and bladder with contrast showed thickened bladder wall and small prostate. Cystoscopy revealed an erythematous lesion over the anterior wall. The rest of the mucosa was normal. Transurethral biopsies of the lesion were performed and histologic examination showed features of eosinophilic cystitis. Despite multiple medication regimens containing corticosteroids and antihistamines, he presented with recurrent urinary retention, approximately once every month. After 6 months, he was started on bethanechol, which led to no catheterization for up to 2 years. To the best of our knowledge, this is the first report on the successful use of bethanechol as a treatment for eosinophilic cystitis with recurrent urinary retention.
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spelling pubmed-53674532017-03-29 Eosinophilic cystitis with recurrent urinary retention: case report Park, Hongzoo Res Rep Urol Case Report Eosinophilic cystitis is a rare inflammatory disease of the bladder whose origin, pathogenesis, and treatment are unknown. Frequency, dysuria, and hematuria are frequent symptoms. Here, we report a rare occurrence of recurrent urinary retention and repetitive catheterization. A 67-year-old male presented with acute urinary retention and intermittent gross hematuria of 2 weeks duration. Urethral catheterization followed by a trial without catheter, was successful. Complete blood count showed presence of eosinophils (eosinophilia) and computed tomography of kidneys, ureter and bladder with contrast showed thickened bladder wall and small prostate. Cystoscopy revealed an erythematous lesion over the anterior wall. The rest of the mucosa was normal. Transurethral biopsies of the lesion were performed and histologic examination showed features of eosinophilic cystitis. Despite multiple medication regimens containing corticosteroids and antihistamines, he presented with recurrent urinary retention, approximately once every month. After 6 months, he was started on bethanechol, which led to no catheterization for up to 2 years. To the best of our knowledge, this is the first report on the successful use of bethanechol as a treatment for eosinophilic cystitis with recurrent urinary retention. Dove Medical Press 2017-03-22 /pmc/articles/PMC5367453/ /pubmed/28357204 http://dx.doi.org/10.2147/RRU.S129490 Text en © 2017 Park. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Park, Hongzoo
Eosinophilic cystitis with recurrent urinary retention: case report
title Eosinophilic cystitis with recurrent urinary retention: case report
title_full Eosinophilic cystitis with recurrent urinary retention: case report
title_fullStr Eosinophilic cystitis with recurrent urinary retention: case report
title_full_unstemmed Eosinophilic cystitis with recurrent urinary retention: case report
title_short Eosinophilic cystitis with recurrent urinary retention: case report
title_sort eosinophilic cystitis with recurrent urinary retention: case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367453/
https://www.ncbi.nlm.nih.gov/pubmed/28357204
http://dx.doi.org/10.2147/RRU.S129490
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