title: [To analyse diagnosis, management and prognosis of florid cystitis glandularis (pseudoneoplastic entity)].
abstract: OBJECTIVE
  To analyse diagnosis, management and prognosis of florid cystitis glandularis (pseudoneplastic entity).
  
  
  METHODS
  A retrospective study of 6 consecutive patients with florid cystitis glandularis seen at the department of Urology of Monastir (Tunisia) from January 1996 to July 2006. All patients underwent ultrasonography, and cystoscopy. Computed tomography (CT) was performed in four patients and magnetic resonance imaging (MRI) in one patient.
  
  
  RESULTS
  The six patients, all of whom were male, ranged from 22 to 68 (average 42) years of age. The most common complaints was haematuria. Radiological examination and cystoscopy suggested a bladder tumor in all patients. Histopathology revealed features of cystitis glandularis of intestinal type. Features of the pelvic CT and MRI were consistent with the diagnosis of pelvic lipomatosis in one patient. The endoscopic resection was performed in 5 patients. Recurrence occurred in one of these 5 patients within one and 7 years of follow-up. The other patient had developed a low compliance small-capacity bladder and bilateral ureteral obstruction. A total cystoprostatectomy and ileal neobladder construction was considered, but it was declined by the patient. The patient was treated with anti-inflammatory drug (Indometacine 100 mg/day).
  
  
  CONCLUSIONS
  Cystitis glandularis may be mistaken for bladder tumor The diagnosis is histological. Treatment is based on eradication of the irritative factors and endoscopic resection of the tumoral masses. The clinical course is unclear, requiring long-term fellow-up.
authors.affiliation: Service d'urologie CHU Fattouma Bourguiba Monastir, Tunisie. to_mounir@yahoo.fr
authors.forename: Mounir
authors.initials: M
authors.lastname: Touffahi
authors.forename: Nessim
authors.initials: N
authors.lastname: Fredj
authors.forename: Mounir
authors.initials: M
authors.lastname: Lefi
authors.forename: Chiraz
authors.initials: C
authors.lastname: Hafsa
authors.forename: Wadia
authors.initials: W
authors.lastname: Hallara
authors.forename: Adrien
authors.initials: A
authors.lastname: Moussa
authors.forename: Hamadi
authors.initials: H
authors.lastname: Saad
mesh_terms: D000328:Adult; D000368:Aged; D003556:Cystitis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000601:surgery