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Cystitis glandularis is an uncommon cystitis where chronic irritation to the bladder results in proliferation of the epithelium and replacement of the submucosa with glandular elements. 1 This cystitis is more pronounced at the ureterovesical junction, thus causing ureteral obstruction with subsequent renal failure. Cystitis glandularis is known to be associated with pelvic lipomatosis, a benign proliferative process that involves the perivesicular retroperineum with varying effects upon the adjacent organs. 2 The following case report is an example of the latter association. CASE REPORTA 20-year-old Haitian male presented with a chief complaint of six months of low back pain radiating to the thigh without paresthesias or weakness. In addition, he noted dysuria and frequency without hematuria.Physical examination, blood chemistry tests, and urinalysis were normal.Intravenous urogram with retrograde cystography at that time demonstrated bilateral hydronephrosis and hydroureter with delayed filling of the bladder, implying ureteral obstruction at the ureterovesical junction. When the bladder was opacified, it was pear shaped, elevated from the pelvic floor, and displaced anteriorly by a large amount of radiolucent peri vesicular tissue.Adbominal and pelvic sonograms showed the bladder wall to be thickened, especially at the trigone, where "finger-like" nodular projections of the mucosa were seen. The prostate was en-

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