cystitis colli


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cystitis

 [sis-ti´tis]
inflammation of the urinary bladder; it may result from an ascending infection coming from the exterior of the body by way of the urethra, or from an infection descending from the kidney. A simple cystitis that does not involve the rest of the urinary tract is not as serious as the descending type in which the kidneys and ureters as well as the bladder are involved. Often cystitis is not an isolated infection but is a result of some other physical condition, such as urinary retention, calculi in the bladder, tumors, or neurologic diseases that impair normal bladder function.

Prevention of recurrent cystitis in females that is not attributable to abnormal structures or other factors mentioned previously may be achieved by good personal hygiene and the following measures: (1) always wipe the anal region from front to back after a bowel movement; (2) avoid wearing nylon pantyhose, tight slacks, or any clothing that traps perineal moisture and prevents evaporation; (3) do not wash underclothing in strong soap, and rinse underclothing well; (4) do not use bubble bath, perfumed soap, feminine hygiene sprays, or products containing hexachlorophene; (5) avoid prolonged bicycling, motorcycling, horseback riding, and traveling involving prolonged sitting, which can contribute to irritation of the urethral meatus and to development of an ascending cystitis; and (6) do not ignore vaginal discharge or other signs of vaginal infection.
Symptoms and Treatment. The most common symptoms of cystitis are dysuria, frequency and urgency of urination, and in some cases hematuria. Chills and fever indicate involvement of the entire urinary tract and are not symptomatic of uncomplicated cystitis. Treatment of acute cystitis consists of antimicrobials, forcing of fluids, and bed rest. Hot sitz baths give some relief of the discomfort, and spasms of the bladder wall may respond to an antispasmodic drug such as hyoscyamine. Chronic cystitis is more difficult to cure and may require surgical dilatation of the urethra to facilitate drainage of urine. In many cases removal of the underlying cause, such as chronic vaginal infection, relieves the cystitis.
cystitis col´li inflammation of the bladder and bladder neck.
hemorrhagic cystitis cystitis with severe hemorrhage, a dose-limiting toxic condition with administration of ifosfamide or cyclophosphamide, or a complication of bone marrow transplantation.
interstitial cystitis a type seen mainly in women, with the inflammatory lesion a small patch of red to brown mucosa surrounded by a network of radiating vessels, usually in the vertex and involving the entire thickness of the wall. The lesions are known as Hunner's ulcers and often heal superficially so that they are difficult to detect.
radiation cystitis inflammatory changes in the urinary bladder caused by ionizing radiation; called also radiocystitis.

cys·ti·tis col·'li

inflammation of the neck of the bladder.

cystitis colli

inflammation of the bladder and bladder neck.