Mitchell J. FINKELSTEIN, Kim HOOKIM, Marc ZEFFREN
Journal of Urological Surgery - 2026;13(2):141-143
Granulomatous cystitis of the bladder is a rare urological pathology resulting from infection, Bacillus Calmette-Guerin treatment for bladder cancer, granulomatous disease, or idiopathic origins. We report a 63-year-old female with dysuria and abdominal pain. Computed tomography imaging revealed a thickening of the bladder wall, which raises concerns for malignancy. A transurethral resection of bladder tumor procedure was performed, and a biopsy revealed chronic granulomatous cystitis that was negative for malignancy. The patient experienced no complications post-operatively and was on continued oxybutynin and tamsulosin treatment. We discuss the etiologies of granulomatous cystitis and attempt to provide theories for this patient's uncommon disease.
