Published online Sep 26, 2020. doi: 10.12998/wjcc.v8.i18.4234
Peer-review started: June 28, 2020
First decision: July 24, 2020
Revised: August 3, 2020
Accepted: August 22, 2020
Article in press: August 22, 2020
Published online: September 26, 2020
Processing time: 85 Days and 10.6 Hours
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.
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.
Bladder instillation of hyaluronic acid and injection of botulinum-A neurotoxin into the bladder submucosal tissue can be used for treatment of EC.
Core Tip: Encrusted cystitis is a chronic inflammation of the bladder associated with mucosal encrustations. Early diagnosis and optimal treatment are not well established. We report a case of encrusted cystitis successfully treated with combined therapies of elimination of encrustations, bladder instillation of hyaluronic acid and injection of botulinum-A neurotoxin into the bladder submucosal tissue. To our knowledge, we report the first description of encrusted cystitis treated with bladder instillation of hyaluronic acid and injection of botulinum-A neurotoxin into the bladder submucosal tissue.