Intestinale Florid Glandular Cystitis in Centre Medicochirurgical De Kinindo Bujumbura

Abstract

Background: Glandular cystitis is a metaplastic lesion of the bladder urothelium primarily affecting men. There are two types: typical glandular cystitis and intestinal glandular cystitis. Therefore, the definitive diagnosis relies on histopathology. The controversial theory surrounds the malignant degeneration of these lesions. Here, we present a case of florid glandulo-cystic cystitis of intestinal origin. Clinic observation: A 20-year-old man presented to the clinic with intermittent total hematuria associated with obstructive and irritative symptoms that had been ongoing for more than a year. In Histology examen, there was an absence of malignant tumor proliferation and signs indicative of typical inflammation: Florid glandulo-cystic cystitis of intestinal type. Conclusion: Intestinal glandular cystitis is a rare condition affecting primarily men and involving the bladder mucosa. Its symptoms are nonspecific and often go undiagnosed. Transurethral bladder resection remains the treatment of choice, but other therapeutic modalities, proven effective, should not be dismissed. The issue of malignant degeneration remains a controversial topic for debate, but the course of the disease is primarily marked by recurrences, necessitating cystoscopic monitoring.