Which is better for treating glandular cystitis, surgery or drug treatment?

Date:2018-12-02 click:0

In recent years, the incidence of glandular cystitis is gradually increased in USA. Of course, this is closely related to the cystoscopy and biopsy vigorously. However, because glandular cystitis has 5% chance of becoming malignant bladder cancer, it is necessary to take timely treatment when patients are diagnosed as this disease. Then, how to treat glandular cystitis? Currently, the main treatments are surgery and drug treatments. So, which is better for the treatment of this disease?

The surgery treatment of glandular cystitis
Surgery treatment for glandular cystitis is suitable for the patients who have ranges of bladder mucosal lesions with cystoscope, and also for the patient who were found to have malignant omen with biopsy. If patients are found to have scattered lesions in bladder trigone and mucosa with cystoscope, electrocautery treatment can be implemented; if patients are found to have obstruction lesions in bladder neck with cystoscope, they can choose the transurethral treatment; if patients are found the bladder mucosa develop into pedicle of papillary matter, showing papillomatosis or intestinal adenomatous hyperplasia with biopsy, it is the hint of cancer lesions. Under this situation, patients are required to remove the entire bladder tissue.
The drug therapy for the glandular cystitis
The tablet for the glandular cystitis is suitable for the patients who have no significant changes or have scattered several of bladder mucosa with biopsy. At the moment, patients can take a conservative herbal therapy like diuretic and anti-inflammatory pill, and they can take orally for 1-3 months to relieve their symptoms; or they can take instillation by continuing to do the intravesical chemical drugs or immunosuppressants every week. Commonly, perfusion for 8 weeks can achieve satisfactory results.
However, as the irrigation of bladder drug will have some irritation to highly sensitive bladder mucosa. So under long-term bladder instillation, most patients not only have to endure the pain but also appear specific intravesical irritant symptoms. On this occasion, patients are likely to appear chemical cystitis, resulting in the heavy losses both from body and mind. For this reason, if patients cannot stick to do instillation, they can take orally diuretic and anti-inflammatory pill to treat this disease.
To sum up, surgery and medication are the main treatment for glandular cystitis. Patients can take electrocautery or transurethral therapy according to the scope and size of bladder mucosal lesions; among the medication treatment for this disease, according to the patient's self-will, they can choose oral medication or intravesical drug therapy. Specific treatment options are based on the symptoms and biopsy and cystoscopy test to decide. The best treatments suit the patients most.