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中華民國泌尿科醫學會雜誌

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篇名 Eosinophilic Cystitis and Ureteritis after Radical Prostatectomy: Case Report and Literature Review
卷期 10:1
並列篇名 在根除性前列腺切除手術後之嗜伊紅性膀胱炎與輸尿管炎:病例報告與文獻回顧
作者 蔡維明郭漢崇
頁次 42-45
關鍵字 嗜伊紅性膀胱炎前列腺切除手術類固醇eosinophilic cystitisprostatectomysteroidTSCI
出刊日期 199903

中文摘要

嗜伊紅性膀胱炎為一罕見膀胱疾病,常見之表現為反覆性血尿、頻尿及排尿困難,並無特定症狀。我們提出一個在根除性前列腺切除手術後發生嗜伊紅性膀胱炎的病例。雖然使用了各種可能之抗生素治療,病人之下泌尿道症狀一直持續,而且疾病進行至影響兩側輸尿管造成阻塞及兩側腎水腫。輸尿管阻塞在施行尿液分流手術後並無改善但卻對類固醇治療反應良好。文獻回顧指出嗜伊紅性膀胱炎肇因可能是和免疫因素有關,然而外傷及膀胱手術亦曾被指為可能肇因之一。因為嗜伊紅性膀胱炎之確切診斷只能靠病理切片,泌尿科醫師及病理科醫師對此病需有更深之瞭解與警覺,以提供病人更好的照顧。

英文摘要

Eosinophilic cystitis is a rare bladder lesion which usually presents with nonspecific symptoms including recurrent hematuria, dysuria and frequency. We report a case that developed after radical prostatectomy. The lower urinary tract symptoms persisted despite of various antibiotics treatments. Eventually, the disease progressed to involve both ureters and bilateral hy-dronephrosis ensued. The ureteral obstruction was not improved even after ileal conduit urinary diversion but finally responded to steroidal therapy. Although eosinophilic cystitis is reported to be probably of immunological nature, trauma and bladder surgery have also been implicated as possible etiologic factors. Since the diagnosis can only be made pathologically, a successful management of this disease required awareness and alertness of both urologists and pathologists.

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