CU 10. The incidence and clinical features of pelvic lipomatosis in the male cystitis glandularis patients

Objective: Among male "glandular cystitis" patients diagnosed in our department, we chose the cases who were ultimately diagnosed as cases of pelvic lipomatosis, then we retrospectively compared their clinical data with the other glandular cystitis patients, and to understand the pelvic lipomatosis incidence and clinical features in such patients.

Methods: From 1990 to 2010, a total of 143 male patients were pathologically confirmed as "glandular cystitis" in the Department of Urology, Peking University First Hospital, among which 56 patients were finally diagnosed as pelvic lipomatosis. we compared their clinical data with the remaining 87 patients to improve the diagnosis and treatment level of pelvic lipomatosis in the male "glandular cystitis" patients.

Results: The incidence of "hypertension" and "high body mass index" (BMI >25) in both groups showed no significant difference; but patients with pelvic lipomatosis had an increased proportion of "dysuria" and "back pain" in symptoms (P=0.022); Also the pelvic lipomatosis group had more cases with "hydronephrosis or hydroureter" and "bladder wall thickening" by ultrasound than the control group (P<0.001); in cystoscopy, the pelvic lipomatosis group were found to have a significantly higher proportion in "extension of the posterior urethra" and "bladder posterior lip elevation" (P<0.001); after the transurethral resection of bladder tumor treatment, the pelvic lipomatosis group yields a higher alleviation rate on "the upper urinary tract water" and lower "glandular cystitis recurrence" rate.

Conclusions: In male "glandular cystitis" patients, the appearance of "dysuria" "the upper urinary tract water" and "bladder wall thickening" increased the likelihood of such patients to be diagnosed as "pelvic lipomatosis"; in cystoscopy, the pelvic lipomatosis group had a significantly higher proportion in "extension of the posterior urethra" and "bladder posterior lip elevation" (P<0.001); after the transurethral resection treatment, the pelvic lipomatosis group yields a higher alleviation rate on "the upper urinary tract water" and lower "glandular cystitis recurrence" rate.