Differential Diagnosis for Bladder Wall Thickening and Cystitis
Single Most Likely Diagnosis
- Benign Prostatic Hyperplasia (BPH): The patient's age and symptoms of bladder wall thickening, cystitis, and possible outlet obstruction are consistent with BPH, which is a common condition in men of this age group. BPH can cause urinary retention, leading to bladder wall thickening and cystitis.
Other Likely Diagnoses
- Urinary Tract Infection (UTI): Cystitis can be caused by a UTI, which is a common condition that can cause bladder wall thickening and symptoms of outlet obstruction.
- Bladder Cancer: Although less likely than BPH, bladder cancer can cause bladder wall thickening and cystitis, especially in older adults.
- Neurogenic Bladder: A neurogenic bladder can cause urinary retention, leading to bladder wall thickening and cystitis.
Do Not Miss Diagnoses
- Bladder Outlet Obstruction due to Malignancy: Although rare, a malignant tumor (e.g., prostate cancer) can cause bladder outlet obstruction, which would be a life-threatening condition if missed.
- Interstial Cystitis: A chronic condition that can cause bladder wall thickening and cystitis, interstitial cystitis can be debilitating if left untreated.
Rare Diagnoses
- Schistosomiasis: A parasitic infection that can cause bladder wall thickening and cystitis, schistosomiasis is rare in developed countries but can be seen in travelers or immigrants from endemic areas.
- Tuberculosis: A rare cause of cystitis and bladder wall thickening, tuberculosis can be seen in immunocompromised patients or those from endemic areas.
- Eosinophilic Cystitis: A rare condition characterized by eosinophilic infiltration of the bladder wall, eosinophilic cystitis can cause bladder wall thickening and cystitis.