How is leukoplakia of bladder mucosa diagnosed?

summary

The clinical manifestations of bladder leukoplakia and chronic cystitis are difficult to distinguish, so if there is repeated urinary tract irritation syndrome, and anti-inflammatory treatment has no effect in patients, cystoscopy is needed. How to diagnose leukoplakia of bladder mucosa? Experience in this area.

How is leukoplakia of bladder mucosa diagnosed?

The first: pathological examination, biopsy confirmed that it was squamous metaplasia, with significant keratosis, spinous cortex invagination, cell atypical hyperplasia.

Second: cystoscopy, generally can be in the bladder triangle area, both sides of the wall has a clear border, irregular size, slightly higher than the normal mucosa of the protrusion, showing a gray or yellowish, no blood vessels, can see keratin fragments floating.

Third: laboratory tests, urine tests, in addition to hematuria patients, the majority of patients with urine routine examination and urine culture are negative.

matters needing attention

1. The cystoscope was used to inject prednisone acetate or isoflurane acetate directly into the lesion. The injection interval was usually one week to one month, and the injection could be several times. 2. Try cryotherapy. When necessary, the bladder mucosa can be removed from the focus. If malignant transformation is suspected, partial cystectomy can be considered. 3. Removal of chronic pathogenic factors, such as bladder stones, should be treated with lithotripsy or surgery. 4. After urethral cystoscopic electrocautery or YAG laser irradiation have certain curative effect, but often can not achieve radical, must be closely followed up.