Kasianandan Amuthanila, Kannan Kurinji
The Townsville Hospital, 67, Klewarra Boulevard, Douglas, QLD 4814, Australia.
Int Urogynecol J. 2012 Jan;23(1):131-3. doi: 10.1007/s00192-011-1491-3. Epub 2011 Jul 6.
An 81-year-old woman presented with symptoms of recurrent urinary tract infections, urge incontinence and nocturia. Cystoscopy performed revealed a whitish plaque lesion on the fundus and right lateral wall of the bladder. The histology of the biopsy confirmed the diagnosis of leukoplakia vesicae of the bladder. The plan is to follow her up with repeat cystoscopy and biopsy in 6 months. The literature search revealed very little information on the pathogenesis and prognosis of this condition due to its rare occurrence. Analysis of the literature signifies the association of chronic irritation due to recurrent urinary tract infections being the commonest cause of leukoplakia vesicae. The recommended long-term follow-up and surveillance based on the literature review is by cystoscopy with or without biopsy.
一名81岁女性出现反复尿路感染、急迫性尿失禁和夜尿症状。膀胱镜检查发现膀胱底部和右侧壁有白色斑块病变。活检组织学检查确诊为膀胱白斑。计划在6个月后对她进行复查，重复膀胱镜检查和活检。文献检索发现，由于这种疾病罕见，关于其发病机制和预后的信息非常少。文献分析表明，反复尿路感染引起的慢性刺激是膀胱白斑最常见的原因。根据文献综述，推荐的长期随访和监测方法是进行膀胱镜检查，可进行或不进行活检。
