Successful treatment of encrusted cystitis: A case report and review of literature

Abstract

BACKGROUND Encrusted cystitis (EC) is a chronic inflammation of the bladder associated with mucosal encrustations. Early diagnosis and optimal treatment are not well established. Here, we report a case of EC successfully treated with com-bination therapy. CASE SUMMARY A 27-year-old man presented with frequency, urgency, dysuria, gross hematuria and suprapubic pain for 2 mo. He was diagnosed with EC based on characteristic calcifications of the bladder wall (most of them were struvite), cystoscopy and histopathological examination. He was cured after combined therapy of elimination of encrustations, bladder instillation of hyaluronic acid and injection of botulinum-A neurotoxin into bladder submucosal tissue. CONCLUSION Bladder instillation of hyaluronic acid and injection of botulinum-A neurotoxin into the bladder submucosal tissue can be used for treatment of EC.

Diffused bladder wall calcification in a survivor with severe coronavirus disease 2019: A case report

“…Bladder instillation of hyaluronic acid, dimethyl sulfoxide, and submucosal Botox injection can also help treat CU-related calcification successfully. [14,15] For inflammation related submucosal calcification, removal of calcification may help alleviate urinary tract symptoms. Our interpretation that bladder calcifications be related to Covid-19 was based on the following clinical findings.…”