A 43-year-old man presented with a high voiding frequency of 8/4 and macroscopic hematuria.
A history of recent bladder biopsy revealed chronic cyst.
Pyelography and computed tomography of the abdomen and pelvis were performed, which were normal.
The cyst shows erythematous bladder with papillary lesion in the bladder floor.
Biopsy revealed eosinophilic cyst.
He started treatment with Hydroxycin 20 mg every 12 h plus Diclofenac sodium 50 mg every 8 h.
There was partial response, yielding hematuria, but with a voiding frequency of 5/3.
Adding prednisone 20 mg/day allowed the discomfort and normalized the voiding frequency.
