Patient's question:
On November 12, 2012, I had hematuria for one day and went to City First Hospital for treatment. I underwent two electroresection procedures.Doctor's answer:
The management of intravesical focal lesions currently involves two differing opinions. One view holds that adenocystitis is a benign condition, and local pathological changes do not require immediate treatment but necessitate regular follow-up. Although most scholars consider the presence of Brunn’s cell nests on pathology to be sufficient for diagnosing adenocystitis, the condition itself is still regarded as benign and may not require treatment. However, it is essential to conduct regular cystoscopic examinations, and any signs of proliferation or transformation should be addressed.The alternative view maintains that adenocystitis is a premalignant condition requiring active management. Adenocystitis is a chronic disorder that may remain dormant at certain stages but carries a risk of malignancy. There have been reports of coexistence of adenocystitis and bladder cancer, as well as cases where adenocystitis progressed to bladder adenocarcinoma or mucinous adenocarcinoma. When adenocystitis exhibits adenomatous hyperplasia, malignancy should be highly suspected.
The management of intravesical focal lesions should vary depending on the patient’s clinical symptoms, the location, size, shape of the lesion, and any complications it may cause. Methods such as intravesical chemotherapy, surgical treatment, and radiotherapy may be employed.