Xanthogranulomatous Cystitis Presenting as Urinary Incontinence and a Vesicovaginal Fistula: a Case Report and Review of the Literature


Anthogranulomatous cystitis (XC) is an inflammatory condition of the urinary bladder that is benign and rarely seen. XC is a unique disease in which there have been only 26 cases described in the literature, including our case. Patients with XC often present with lower urinary tract symptoms, hematuria, abdominal pain, or abdominal mass. We present the unusual case of an 81 year old female who presents with urinary incontinence, which was later diagnosed as a vesicovaginal fistula. After describing the treatment of this patient, a review of the literature is detailed including presentation, possible etiologies, and treatment of XC.

Share and Cite:

S. Abdullah, A. Mellis, C. Puzio and D. Culkin, "Xanthogranulomatous Cystitis Presenting as Urinary Incontinence and a Vesicovaginal Fistula: a Case Report and Review of the Literature," Open Journal of Urology, Vol. 1 No. 4, 2011, pp. 86-88. doi: 10.4236/oju.2011.14018.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] L. B. Tan, C. P. Chiang, C. H. Huang and C.-H. Chian, “Xanthogranulomatous Cystitis: A Case Report and Review of the Literature,” International Urology Nephrology and Nephrology, Vol. 26, No. 4, 1994, pp. 413-417. doi:10.1007/BF02768011
[2] N. Ota, “Urachal Tumor of Inflammatory Origin,” Grangigebie, Vol. 7, 1933, p. 1205.
[3] D. E. Chung, L. K. Carr, L. Sugar, M. Hladunewich and L. A. Deane, “Xanthogranulomatous Cystitis Associated with Inflammatory Bowel Disease,” Canadian Urological Association Journal, Vol. 4, No. 4, 2010, pp. E91-E93.
[4] A. Fornari, M. Dambros, C. Teloken, A. A. Hartmann, J. Kolling and R. Seben, “A Case of Xanthogranulomatous Cystitis,” International Urogynecology Journal, Vol. 18, No. 10, 2007, pp. 1233-1235. doi:10.1007/s00192-007-0345-5
[5] M. K. Chung, M. Y. Seol, W. Y. Cho, H. K. Seo and J. S. Kim, “Xanthogranulomatous Cystitis Associated with Suture Material,” The Journal of Urology, Vol. 159, No. 3, 1998, pp. 981-982. doi:10.1016/S0022-5347(01)63794-7
[6] H. L. Tai, C. C. Chen and K. T. Yeh, “Xanthogranulomatous Cystitis Associated with Anaerobic Bacterial Infection,” The Journal of Urology, Vol. 162, No. 3 Pt 1, 1999, pp. 795-796.
[7] S. K. Singh, A. K. Khandelwal, D. S. Pawar R. Sen and S. Sharma, “Xanthogranulomatous Cystitis: A Rare Clinical Entity,” Urology Annals, Vol. 2, No. 3, 2010. pp. 125-126. doi:10.4103/0974-7796.68863
[8] R. Goel, G. Kadam, A. Devra, S. Patel and P. Modi, “Xanthogranulomatous Cystitis,” International Urology Nephrology and Nephrology, Vol. 39, No. 2, 2007, pp. 477-478. doi:10.1007/s11255-006-9059-8
[9] S. Ekici, E. Dogan, S. Ruacan and A. Midi, “Xanthogranulomatous Cystitis: A Challenging Imitator of Bladder Cancer,” The Scientific World Journal, Vol. 10, 2010, pp. 1160-1173. doi:10.1100/tsw.2010.139

Copyright © 2022 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.