Polyps of urinary bladder mdash; benign or malignant soft growths that develop on the mucous membrane inside the bladder. The residual reason responsible for the formation of polyps has not yet been elucidated. However, it can be assumed that the development of the disease strongly depends on such factors as smoking and the influence of an adverse external environment, in particular polycyclic aromatic carbohydrates. The risk group includes workers in the leather and textile industries, as well as miners.
The course of the disease is asymptomatic, but polyps are often responsible for bleeding and pain during urination. The likelihood of bladder polyps degenerating into a malignant tumor is quite high. Therefore, surgical intervention is recommended as soon as possible after the onset of symptoms of the disease.
Symptoms of Polyps of urinary bladder
The main symptoms of the disease are:
- change in the regular frequency of urination;
- pain on palpation;
- painful urination;
- frequent urination (pollakiuria);
- blood in the urine (hematuria).
Polyps of urinary bladder can be solitary or grow in a group, forming real-life agglomerates comparable to a bunch of grapes or cauliflower.
It is important to note that men are at risk for bladder polyps much more often than women. Estimated incidence: 9 to 1. Evidence from medical statistics suggests that the average age at onset of disease progression in men is 57 years old. Bladder polyposis accounts for about 3% of all bladder neoplasms.
Diagnosis of polyps of the bladder
If you suspect the presence of irrigation of the bladder, it is urgent to consult a urologist. The most reliable method is cystoscopy. After local anesthesia of the urethra, an endoscope is inserted; a thin flexible hose with a tiny camera and a light source to look around the space. By establishing the presence of a polyp in the bladder, the doctor can remove a tissue flap (biopsy). Subsequently, the sample is sent to the laboratory for cytological examination. A differential diagnosis of polyps of the bladder and all diseases characterized by similar symptoms is required.At the clinical level, polyps can be confused with benign prostatic hypertrophy, urinary tract infection associated with sexually transmitted diseases and urinary stones.
Treatment of polyps of the bladder
Despite the asymptomatic course, the polyps must be removed surgically. As a rule, they undergo transurethral resection or are removed using an endoscopic resector. With this tool, you can remove the polyp with a wire loop, cutting into small fragments. Surgery requires general or local anesthesia. After surgical removal of a malignant bladder polyp, the patient is usually subjected to chemo / radiation therapy. Non-removed bladder polyps carry a high risk of malignant tumor development. This can worsen the prognosis and jeopardize the patient's life.