The inflammatory pseudotumor of the urinary bladder is rare, especially in children. It is a benign proliferative lesion of the submucosal stroma easily mistaken for a sarcoma clinically, so it should be differentiated from a malignant neoplasm. We report the case of bladder inflammatory pseudotumor in a 7-year-old girl.
Bladder Diseases/pathology ; Bladder Diseases/diagnosis* ; Bladder Neoplasms/diagnosis ; Case Report ; Child ; Diagnosis, Differential ; Female ; Granuloma, Plasma Cell/pathology ; Granuloma, Plasma Cell/diagnosis* ; Human ; Urography

Artificial Intelligence ; Forecasting ; Humans ; Rare Diseases ; Urinary Bladder Neoplasms/diagnosis*

Amyloidosis is a systemic disease characterized by the deposition of homogenous, eosinophilic and hyaline protein. Most cases of amyloidosis occur as a systemic disease, with a poor prognosis. Conversely, primary localized amyloidosis of the bladder has an excellent prognosis in most cases, it is, therefore, important to distinguish primary localized from systemic amyloidosis. Primary localized amyloidosis of the bladder is a rare disease, causing hematuria, which is often confused with bladder cancer. The diagnosis is usually made from a biopsy and subsequent pathological examination. We report a case of primary localized amyloidosis of the bladder, occurring in a 73 year old man, treated with a transurethral resection.
Aged ; Amyloidosis* ; Biopsy ; Diagnosis ; Eosinophils ; Hematuria ; Humans ; Hyalin ; Prognosis ; Rare Diseases ; Urinary Bladder Neoplasms ; Urinary Bladder*

PURPOSE: The detection of telomerase activity is a new and useful method in diagnosis of bladder transitional cell carcinoma(TCC) in urine samples. But the detection method of telomerase activity is not easily performed in clinical settings because it uses radio-isotope and electrophoresis. We evaluated the test results of telomerase PCR-ELISA and compared them with the results of urinary cytology. MATERIALS AND METHODS: In order to evaluate the feasibility of telomerase PCR-ELISA method in bladder TCC, 36 bladder washing samples of patients with bladder TCC and 10 bladder washing samples of benign urologic diseases were examined for telomerase activity. RESULTS: The overall sensitivity and specificity of the telomerase test was 76.5%(26/36) and 80.0%(4/5). The sensitivity of telomerase test was higher than that of urinary cytology in low grade bladder TCC. Sensitivity of the telomerase test according to the nuclear grade of bladder TCC was 61.5% in grade I, 92.3% in grade II, 75% in grade III. In contrast, the sensitivity was 38.5% in grade I, 66.7% in grade II, 87.5% in grade III in urinary cytology. There was no correlation between the tumor stages and the sensitivity of telomerase test. CONCLUSIONS: We have shown that the sensitivity and specificity of telomerase PCR-ELISA method is similar to the results of telomerase tests previously reported using radioisotope. Furthermore, the telomerase test is more sensitive in detecting bladder tumor of low grade than urinary cytology. These findings suggest that telomerase PCR-ELISA method can be used conveniently and widely for the detection of bladder tumor in clinical practice.
Diagnosis* ; Electrophoresis ; Humans ; Sensitivity and Specificity ; Telomerase* ; Urinary Bladder Neoplasms* ; Urinary Bladder* ; Urologic Diseases

Emphysematous cystitis is an uncommon condition in which pockets of gas are formed in and around the bladder wall by gas-forming organisms. Patients with diabetes, neurogenic bladder and chronic urinary infection are predisposed to the disease. Severity of illness ranges from an asymptomatic condition to life-threatening cystitis. Successful management depends on early diagnosis with correction of underlying causes, administration of appropriate antibiotics, establishment of adequate bladder drainage and surgical excision of involved tissue when required. Early detection and prompt treatment are encouraged. We report one case of emphysematous cystitis complicated with diabetic nephropathy in a 68-year-old woman.
Aged ; Anti-Bacterial Agents ; Asymptomatic Diseases ; Cystitis* ; Diabetic Nephropathies* ; Drainage ; Early Diagnosis ; Female ; Humans ; Urinary Bladder ; Urinary Bladder, Neurogenic

Actinomycosis is a chronic suppurative infectious disease usually caused by the anaerobic bacterium Actinomyces israelii. Pelvic actinomycosis is rare, and usually associated with the use of intrauterine contraceptive devices. Primary vesical actinomycosis is extremely rare. Herein, a case of a 42-year-old woman, who presented with bladder irritative symptoms and had a 13 year history of intrauterine device insertion, is reported. With the presumptive diagnosis of bladder tumor or abscess, partial cystectomy was performed. Pathological examination revealed a primary vesical actinomycosis.
Abscess ; Actinomyces ; Actinomycosis* ; Adult ; Communicable Diseases ; Cystectomy ; Diagnosis ; Female ; Humans ; Intrauterine Devices* ; Urinary Bladder Neoplasms ; Urinary Bladder*

There have been some pros and cons about the of routine intravenous pyelography in benign prostatic hyperplasia. Herein we analyzed 196 patients who underwent intravenous pyelography before prostatectomy at Dept. of Urology, Seoul National University Hospital from Jan. 1976. to Dec. 1983. Of 196 patients 140 (72%) showed normal upper tract with cystogram compatible with benign prostatic hyperplasia(Group I), 22(11%) dilated upper tract(Group II), 20(10%) incidental upper tract abnormalities including 9 urolithiasis(Group III), and 14(7%) completely normal findings(Group IV). There was a significant relationship between Group II and serum BUN value. Cystoscopy revealed evidence of prostatic enlargement in 14 cases and other abnormal findings including bladder tumor which were not shown on routine IVPs. We conclude that intravenous pyelography is not always necessary in diagnosis of benign prostatic hyperplasia when urine analysis and serum BUN are normal Instead, we recommend KUB to observe renal outline and calculi, and preoperative routine cystoscopy to evaluate prostatic enlargement and bladder neck obstruction.
Calculi ; Cystoscopy ; Diagnosis ; Humans ; Prostatectomy ; Prostatic Hyperplasia ; Seoul ; Urinary Bladder Neck Obstruction ; Urinary Bladder Neoplasms ; Urography* ; Urologic Diseases* ; Urology

PURPOSE: We investigated the etiologies of lower urinary tract symptoms (LUTS) and compared urodynamic characteristics between different diagnostic groups in young men with chronic LUTS. MATERIALS AND METHODS: We reviewed the medical records of 308 men aged 18 to 50 years who had undergone a urodynamic study for chronic LUTS (> or =6 months) without symptoms suggestive of chronic prostatitis. RESULTS: The men's mean age was 40.4 (+/-10.1) years and their mean duration of symptoms was 38.8 (+/-49.2) months. Urodynamic evaluation demonstrated voiding phase dysfunction in 62.1% of cases (primary bladder neck dysfunction [PBND] in 26.0%, dysfunctional voiding [DV] in 23.4%, and detrusor underactivity [DU]/acontractile detrusor [AD] in 12.7%) and a single storage phase dysfunction in 36.4% of cases (detrusor overactivity [DO] in 13.3%, small cystometric capacity in 17.9%, and reduced bladder sensation in 5.2%). Most of the demographic characteristics and clinical symptoms did not differ between these diagnostic groups. Whereas 53.9% of patients with voiding dysfunction had concomitant storage dysfunction, 69.6% of those with storage dysfunction had concomitant voiding dysfunction. Men with DV or DU/AD exhibited lower maximum cystometric capacity than did those with normal urodynamics. Low bladder compliance was most frequent among patients with PBND (10.0%, p=0.025). In storage dysfunctions, men with DO exhibited higher detrusor pressure during voiding than did those with other storage dysfunctions (p<0.01). CONCLUSIONS: Because clinical symptoms are not useful for predicting the specific urodynamic etiology of LUTS in this population, urodynamic investigation can help to make an accurate diagnosis and, potentially, to guide appropriate treatment.
Compliance ; Diagnosis ; Humans ; Lower Urinary Tract Symptoms* ; Male ; Medical Records ; Neck ; Prevalence ; Prostatitis* ; Sensation ; Urinary Bladder ; Urinary Bladder Diseases ; Urodynamics*

PURPOSE: We compared the sensitivity and specificity of BTA stat test with those of voided urine cytology and bladder washing cytology in the detection of bladder cancer. MATERIALS AND METHODS: Voided urine samples were obtained from 114 persons and were tested for BTA stat test. Cytology was performed with the same urine of those who were suspected of having bladder cancer and those on follow-up after treatment of bladder cancer. Cytology reports of either class IV or V were considered positive. Cystoscopy and bladder washing cytology were performed subsequently. RESULTS: Cystoscopy revealed bladder cancer in 34 patients. Overall sensitivity of BTA stat test was 88% versus 41% of voided urine cytology (p<0.001). BTA stat test was more sensitive than bladder washing cytology in a subset of 24 patients by 88% to 58% (p<0.05). Specificity of BTA stat test was 74% in 39 persons who were either healthy (10) or had urologic diseases other than bladder cancer (29). Specificity was 61% versus 95% of voided urine cytology in 41 follow-up patients without gross evidence of recurrence(p<0.001). Four patients had both false positive BTA and cytology: 2 received TURB for recurrent bladder cancer 6 months later and the others showed repeated positive cytology without evidence of recurrence 3 and 6 months later. CONCLUSIONS: BTA stat test is superior to cytology (voided and washing) in detecting bladder cancer, but is not reliable enough to substitute cystoscopy. It may somehow allow some flexibility to a strict follow-up cystoscopy schedule in carefully selected cases. Longer follow-up is needed with false positive cases to determine whether BTA stat test is capable of predicting recurrence.
Appointments and Schedules ; Cystoscopy ; Diagnosis* ; Follow-Up Studies ; Humans ; Pliability ; Recurrence ; Sensitivity and Specificity ; Urinary Bladder Neoplasms* ; Urinary Bladder* ; Urologic Diseases

Spontaneous rupture of the bladder is usually associated with a history of recent trauma, instrument injury, or existing bladder disease. However, there are also occasional reports of bladder rupture associated with pregnancy, most of which are complications of cesarean section. However, spontaneous bladder rupture following normal vaginal delivery is very rare. Patients with bladder rupture need a rapid, sensitive diagnosis and treatment because of a high risk of mortality and morbidity. We report a case of bladder rupture after normal vaginal delivery, which was successfully managed. A patient with small bladder rupture and ascites after normal vaginal delivery was treated by urethral catheterization and use of antibiotics, without operation.
Anti-Bacterial Agents ; Ascites ; Cesarean Section ; Delivery, Obstetric ; Diagnosis ; Female ; Humans ; Mortality ; Pregnancy ; Rupture* ; Rupture, Spontaneous ; Urinary Bladder Diseases ; Urinary Bladder Fistula ; Urinary Bladder* ; Urinary Catheterization ; Urinary Catheters