INFLAMMOTRY URINARY BLADDER CONDITIONS Acute bacterial cystitis

Acute bacterial cystitis This disease is present when more than 100,000 bacteria are present in 1mL of fresh urine. Patients with acute cystitis may present with disease of varying degrees of severity; In women, associated haemorrhage is common. IVU results are typically normal. However, in severe cases, generalized bullous mucosal edema may cause the bladder wall to have a cobblestone appearance. This appearance is more pronounced on radiographs, which show a partially filled bladder, or on post voiding images, if residual contrast material is still present. Cystitis is common in sexually active women; it may occur 2-3 times per year and responds well to antibiotics. For patients with more frequent episodes of cystitis or for those with antibiotic resistance, the possibility of an underlying cause should be considered so the entire urinary tract should be imaged to exclude conditions such as calculus disease, bladder diverticula, colovesical fistula, and perivesical abscess.