[Florid glandular cystitis: study of 3 cases and review of the literature].

The authors report three cases of florid, recurrent cystitis glandularis in white men, inducing dilatation of the upper urinary tract due to invasion of the ureteric meatus. Treatment consisted of cystectomy, with preservation of the prostatic capsule, allowing preservation of continence and sexual potency. Cystitis glandularis is a rare, generally asymptomatic, benign metaplasia; it is favoured by chronic irritation and is sometimes associated with pelvic lipomatosis. Its transformation into adenocarcinoma is exceptional and occurs in the case of persistence of the predisposing factor. However, annual surveillance by cystoscopy with bladder biopsies is necessary. The florid form is much rarer and more disabling and usually requires wide resection of the lesions.