Hasan GÖKÇE, Süleyman KILIÇ, Deniz İPEK, Ali GÜNEŞ, Can BAYDİNÇ, Rezzan ERGUVAN, N. Engin AYDIN

Polypoid cystitis unrelated to indwelling catheters: A report of eight patients

Amaç: Kateterizasyon öyküsü olmayan polipoid sistitli hastalan değerlendirmek ve ilgili literatür ışığında tartışmak amaçlandı. Materyal ve Metot: Turgut Özal Tıp Merkezi'nin kayıtlarının retrospektif analizi ile koşuları uygun 8 hasta belirlendi. Bulgular: İki kadın ve 6 erkek hasta değerlendirildi. Ortalama yaş 48 idi (28-70). Dördünde mevcut olan üriner sitoloji bulguları normaldi. Hiçbir hastada bakteriyel üreme tespit edilmedi. Bütün olgular hematüri, over apsesi, mesane karsinomu, erektil disfonksiyon, nörojenik mesane, benin prostat hiperplazisi ve açıklanamayan dizüri gibi farklı durumların değerlendirilmesinde radyolojik ve sistoskopik incelemelerle tesadüfen teşhis edildi. Hastalar ilk tanıdan sonra 6 aydan 2 yıla kadar izlendi. İzlem süresince hiç rekürrens tespit edilmedi. Sonuçlar: Polipoid sistit benin bir lezyondur ve mesanenin transizyonel hücre karsinomunun ayırıcı tanısında düşünülmelidir.

Kalıcı kateterlere bağlı olmayan polipoid sistit: Sekiz olgunun sunumu

Purpose: To evaluate the patients with polypoid cystitis, who did not have a catheterisation history and to review the related literature. Materials and Methods: A retrospective analysis of the records of Turgut Özal Medical Center revealed 8 patients with aforementioned qualification. Results: Two female and 6 male patients were evaluated. Mean age was 48 years (28 to 70). The urinary cytology findings available in 4 were normal. No bacterial growth was established in none of the patients. All cases were diagnosed incidentally by radiologic and cystoscopic examinations in the evaluation of different conditions, such as hematuria, ovarian abscess, bladder carcinoma, erectile dysfunction, neurogenic bladder, benign prostate hyperplasia and unexplained dysuria. Patients were followed for 6 months to 2 years after first diagnosis. No recurrence has been established during followup. Conclusions: Polypoid cystitis is a benign lesion and should be considered in the differential diagnosis of transitional cell carcinoma of the bladder.

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