BMJ Case Reports 2012; doi:10.1136/bcr.10.2011.5009
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Bladder urothelial fissures: a reminder of a distressing disease

  1. John Iacovou
  1. Urology Department, Great Western Hospital, Swindon, UK
  1. Correspondence to Mr Antoine Kass-Iliyya, antoine.kass{at}


A fit middle-aged lady was referred to the urology clinic with intractable, irritative urinary tract symptoms and lower abdominal pain. Investigations did not reveal any evidence of urinary tract infections. Initial empirical treatment with anticholinergics failed to offer symptomatic relief. Subsequent urodynamic investigations were aborted due to …

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