Abstract：
Cystitis Glandularis (CG) is an unusual proliferative disease of the bladder. This condition was associated with chronic inflammation or chronic obstruction. This condition usually presents as microscopic finding and the presence of large macroscopic lesion is a rare feature. Until now, the course of disease from transitional to cystitis glandularis is still unclear and the uncertainty of CG to potentially develop into adenocarcinoma has once been documented. Herewith, we report our experience with 2 years old boy with cystitis glandularis presenting with LUTS obstructive symptoms, hematuria and bladder mass. Ultrasound examination revealed bilateral hydronephrosis with hydroureter and bladder wall thickness suggesting the sign of obstruction and chronic inflammation. Cystoscopy examination was performed to ensure the diagnosis with the result revealing protruding mass partially obstructing the bladder trigone, both ureteral orifice and posterior urethra. Transurethral resection was performed and the administration of COX-2 inhibitor and oral steroid therapy were given. Post-operative course was uneventful with the improvement in symptom and uroflowmetry revealed promising result. This case represented an entity of rare and interesting case of cystitis glandularis causing severe obstructive symptoms and urinary bladder mass which appropriate therapy of endoscopic intervention, COX-2 inhibitor and oral steroid resulted in promising outcome. Follow up of 1 year resulted in reduced LUTS symptoms such as straining and difficulty of urination.
摘要：
腺性膀胱炎（CG）是一种罕见的膀胱增生性疾病。这种情况与慢性炎症或慢性梗阻有关。这种情况通常表现为微观发现，大型宏观病变的存在是罕见的特征。直到现在,从过渡性腺性膀胱炎到腺性膀胱炎的病程尚不清楚,而且CG可能发展为腺癌的不确定性曾经被证明.随此,我们报告了我们的2岁男孩腺性膀胱炎表现为LUTS阻塞性症状的经验，血尿和膀胱肿块。超声检查发现双侧肾积水，输尿管和膀胱壁厚度提示梗阻和慢性炎症。进行膀胱镜检查以确保诊断结果显示突出的肿块部分阻塞膀胱三角区。输尿管口和后尿道。行经尿道切除术，给予COX-2抑制剂和口服类固醇治疗。随着症状的改善，术后病程顺利，尿流图显示出有希望的结果。该病例代表了引起严重阻塞性症状和膀胱肿块的腺性膀胱炎的罕见且有趣的病例，这是内窥镜介入治疗的适当治疗方法。COX-2抑制剂和口服类固醇产生了有希望的结果。随访1年，LUTS症状减少，如紧张和排尿困难。
