Leukoplakia of the bladder: treatment, symptoms, causes
Pathology in which there is replacement of cells of the transitional epithelium cells of the squamous epithelium is called leukoplakia of the bladder. In the cavity regions are formed, is covered by keratinized epithelium, which is not able to protect the bubble from the influence of various substances in the urine. This provokes the emergence of chronic diseases of an inflammatory nature.
The types of the disease
Shares leukoplakia of the bladder based on the location in the body:
- in the neck of the bladder (common type);
- on the bladder cavity.
Pathology has the following form:
- Squamous metaplasia. Is a lightweight form and is characterized by the turbidity of the mucosa that surrounds the bladder cavity.
- Warty. Characterized by clear endings keratinized areas of layered tissues that are traumatized flat shape.
- Erosion. Expressed erosional areas.
Causes of leukoplakia of the bladder
Likely to develop leukoplakia more beautiful gender because, unlike men’s, has the other device of the genitourinary system. The urethral canal in women already, due to this infections are in the urinary cavity easier. The path of infection can be both descending and ascending, but the most famous provocateurs of the disease are infections that are transmitted sexually. In addition, the appearance of leukoplakia is the cause of such diseases:
- chronic disease of neighboring organs;
- malfunctions of the thyroid gland;
- diseases of the genital organs.
To avoid the appearance of leukoplakia, experts recommend that women maintain control over the period of use of intrauterine devices, because the excess of it affects the whole female body. This is what sometimes provokes the appearance of leukoplakia of the bladder. In situations where the patient is diagnosed with tooth decay, tonsillitis or sinusitis, it is important not to delay therapy, so infection on top has not had the opportunity to descend into the bladder.
Symptoms of leukoplakia of the bladder:
- dull pain in the pelvis;
- problematic urination.
The symptoms each patient may vary in its severity and often have when diagnosed with leukoplakia of the bladder neck. Pain with metaplasia are observed blunt character. During urination the patient also has pain and burning in the genital area. In situations where inflammatory processes worsen, leukoplakia added characteristic of cystitis symptoms:
- frequent urinary urge;
- health disorder;
- incomplete elimination of urine from the bladder cavity;
- non-integral jet;
- pain when emptying the cavity.
Symptoms of leukoplakia of the bladder with similar symptoms of cystitis. Because of this, there are often errors in the diagnosis of disease. Studies show that a large number of women who have long tried to heal chronic cystitis, essentially had leukoplakia of the bladder cavity, which was discovered after the deployed research.
Complications and consequences of disease
The main danger of leukoplakia is that when it reaches the bladder loses its elasticity, due to which it is less roomy and almost loses its intended purpose because it can hold urine for up to 30 minutes, and then there is leakage. This triggers the start of kidney failure, which can result in death. In addition, leukoplakia is considered a precancerous disease, therefore, poor treatment can lead to the appearance of malignant tumors affecting the bladder or adjacent organs.
Disease during pregnancy
Leukoplakia of the bladder, like other diseases of an inflammatory nature, adversely affects the body and greatly increase the weight of the pregnancy process. In the initial months, the disease can lead to pathology in fetal development and even miscarriage. Most often this occurs when leukoplakia appeared due to chlamydia and Trichomonas. In the last months the disease can cause early birth, a delay in embryonic development or intrauterine infection.
To treat leukoplakia during pregnancy it is important only with antibiotics. The main course of treatment is carried out after the patient gives birth. In situations where the leukoplakia of the bladder diagnosed during pregnancy planning, to begin with it is important to carry out therapy of the disease and only then start conceiving.
Diagnosis of leukoplakia
First and foremost, in the diagnosis of disease, it is important not to confuse it with cystitis. Help make this complex diagnostic studies. To begin with, the specialist questioned the patient about the symptoms and nature of pain, and then proceeds to inspection. After conducting a physical examination resort to laboratory studies for which the patient will need to take a blood test and urine. Blood specialists are more concerned about the amount of sugar, urea, creatine and hormones. Also the person needs to do biochemical analysis of blood which shows the processes of metabolism and protein metabolism.
After the patient is awaiting an ultrasound, which the doctor sets the level of the lesion cavity bladder and her cervix. Assigned and endoscopy (examination using an endoscope) of the urethra and bladder neck. Diagnosis of leukoplakia of the bladder involves the use of cystoscopy, which is a study of the structure of the bladder cavity from the inside, thanks to which they know the location of the pathology and the level of the lesion of the neck of the bladder.
Treatment of leukoplakia of the bladder is complex, so it is possible to act on all of the injured tissue. In the process of therapy resorted to anti-microbial drugs, anti-inflammatory, strengthening and supporting the immune system. To strengthen the walls of the bladder cavity which adverse effects the urine, doctors are using tools that are similar to natural glycosaminoglycan responsible for the recovery of the affected layer.
In addition to treatment with medicines, doctors prescribe such physiotherapeutic methods:
- microwave effect;
- laser therapy;
Treatment of folk remedies
In the complex with drugs often prescribed treatment of folk remedies, mostly with decoctions of herbs with diuretic and antiseptic action. Resort to the help of bearberry, which helps to relieve the symptoms of leukoplakia. Also use tinctures and decoctions of horsetail, goldenrod, parsley and dill. Its antimicrobial effect is famous for cranberry juice, so it should be included in drinking diet.
Diet in disease
That the treatment was effective, patients it is important to observe a special diet prescribed by the attending physician. It is aimed at excluding from the diet foods that are strong irritants to the mucosa of the bladder. All the food is prepared steamed, boiled or baked in the oven. Is strictly prohibited of leukoplakia eat fried food.
Doctors are allowed to use such products:
- a large number of fruits;
- dairy products;
- lean meats and fish;
To exclude completely from the diet should following range of products:
- spicy food;
- fried foods;
- strong meat and fish broths;
- strong coffee and tea;
- alcoholic beverages;
In addition to following a diet, you need to adhere to and drinking regime. During the day it is important to drink at least 2 liters of fluid, taking into account not only water, but all supplied to the body fluid. Drinking enough liquids will relieve the bladder from harmful bacteria, and lower effect of uric acid on the affected bladder wall.
In addition to water, you can drink:
- teas infused with herbs;
- non-carbonated mineral water;
- weak tea, diluted with water (no sugar added);
- the fruit drinks from the berries.
Surgery for leukoplakia
Operation of leukoplakia of the bladder is performed only when the therapy drugs is futile. In the treatment of leukoplakia of the bladder neck use such types of surgery:
- Transurethral resection of the. Specialists produce the excision of the mucous membrane of the bladder surgically specialized tools. After the intervention resort to treatment aimed at the restoration of the cut tissues.
- Transurethral vaporization. Allows you to process a large area for a minimum period of time.
- Laser surgery. Is burning with a laser beam to the affected cells. When surgical intervention, the film is formed covering the walls, which does not allow wounds to bleed and prevents the ingress of bacteria into the wound. Because of this postoperative period the patient is much faster and easier.
Prevention of leukoplakia
Given the fact that leukoplakia of the bladder, which is often transmitted sexually, doctors strongly recommend to use during intercourse the condom. Also attention should be paid and to prevent hypothermia, causing chronic inflammation in the pelvic area. It is therefore important to wear warm clothes in cold weather. In addition, should not be neglected and personal hygiene, regularly toilet of outside sexual organs and observing certain rules for its implementation.