CYSTITIS CYSTICA

About 18 months ago I started with a tingling in the urethra and then testicular pain and abdominal pain.The right testicle in particular swelled up and the glands in my groin became prominent.I also noted increase in urination,about 15/20 times a day.I was convinced Id contracted an std as id indulged in an episode of unprotected oral sex weeks earlier.I tested for stds and everything was negative.I went to a urologist who repeated urine tests with the same results negative.I had xrays nothing revealed.Eventually had flexible cystoscopy and then the more rigid one in theatre.The urologist diagnosed a condition called CYSTITIS CYSTICA.I was also informed that my bladder should signs of recurrent infections,infact the urologist described it as being similar to a womans bladder.I was advised that the pain was probably caused by an infection which had since gone.I was told the pain would subside.I was given no treatment!!.Sure enough the pain go.However some 18 months later it has again returned.Also I am urinating alot more than I should,this has been going on for sometime even before the pain returned.I am getting worried as I have read on the internet that CYSTITIS CYSTICA is a controversial state that has been linked to cancer.What should I do?

[Kevin Pho, MD]

Cystitis cystica develops from an enfolding of normal bladder lining cells (urothelium). The center then liquefies producing visually distinct small cysts. These are benign and have been found in 60% of normal bladders at autopsy. These changes are associated with inflammation may or may not be associated with symptoms and, in many cases, probably represent normal findings.

In any case, I would suggest being re-tested for infection - with a urine test looking for bacteria or STDs.  If there is concern about continued discomfort, I would suggest a cystoscopy, which can evaluate for any tumors or cancer of the urinary tract as well as anatomical disorders that can cause discomfort.  

If that route is not revealing, you may want to consider tests for prostatitis, including prostatic massage and testing prostatic secretions for infection.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

[eloridas]

0

[AlLee1]

A related discussion, Doxazosin + Dutasteride for BHP was started.