Schistosomiasis of the Bladder
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Bilharziasis; Schistosomal disease of the urinary bladder
Chronic disease due to Schistosoma haematobium
In Africa and Eastern Mediterranean, the infection with Schistosoma haematobium affects large percentage of the people.
Young people in endemic areas
Male/female ratio is 4:1.
The involvement of different urogenital organs may occur; the urinary bladder is more frequently affected (Zahran et al. 1976), but can be seen in the prostate and seminal vesicles also.
Anti-helminth drugs. Ulcerations may require partial cystectomy.
It is a chronic disease. It causes non-specific symptoms with dysuria, pain, and eventually voiding alterations. It may cause, if untreated, pyelonephritis and hydronephrosis and a high incidence of squamous cell carcinoma but also urothelial carcinoma and more rarely adenocarcinoma. Complications, such as ulceration, may occur during inactive phase of disease.