Abstract：Objective:To approach the clinical features and treatment of cystitis glandularis in female patients. Methods:A retrospective analysis of clinical data of 97 cases of cystitis glandularis in female patients was made. Their age ranged from 23 to 79 years and the mean age was 49.6 years. Frequency, urgency and dysuria were observed in 37 patients hematuria in 24, irritation sign of bladder and hematuria in 12, lower abdominal pain in 9, difficulty of urination in 8 and asymptomatic in 3. Urinary tract infection in 45 patients and bladder neck obstruction in 14.2 patients were diagnosed with cystitis glandularis at 9 months after surgical treatment of bladder cancer. Results:The lesions were located at the trigone and bladder neck in 86 cases, at lateral wall of bladder in 3 cases, at posterior wall in 6 cases and at apex of bladder in 2 cases. The lesions were follicular in 41 cases, papillar in 23 cases,villiform in 12 cases, chronic inflammation type in 13 cases and unchanged mucosa type in 8 cases. Of the 97 cases, 9 were treated conservatively, 4 cases were followed up of 3-24 months, and their symptoms were remitted. 88 cases underwent surgery, including 88 cases for transurethral resection. 70 cases were followed up of 8 months -9 years, 66 were not recurrent, 4 were recurrent at 13 to 20 months (mean 15.5 months) postoperatively. 1 case of recurrent patient was treated conservatively, 3 for transurethral resection. Conclusions:Urinary tract infection and bladder neck obstruction are very common in female patients of cystitis glandularis. Transurethral recection of the lesion is a simple and effective therapy, with favorable outcome at long-term follow-up.
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