There are times when you will inexplicably experience frequent urination, urgency, painful urination and bloody urine in the naked eye and vague pain in the lower abdomen, which must be careful and may suggest the presence of subfertility, most likely adenoidal cystitis. In daily life, many people have adenoidal cystitis, which is a very painful thing for the patient. We need to have an understanding of the symptoms and diagnosis of adenoid cystitis. 1, how is adenoidal cystitis a disease adenoidal cystitis is a special type of chronic cystitis, prevalent in young and middle-aged women, most believe that the cause and bladder infection, obstruction, stones and other chronic irritation caused by the normal bladder urothelial changes in the results of chemotaxis. It is a non-neoplastic inflammatory lesion that has been on the rise in recent years. Some of those previously diagnosed as “female urethral syndrome” belong to this disease. It is now believed that adenoidal cystitis is a precancerous lesion, and if left untreated, about 4% of patients will evolve into bladder cancer in a few years. 2. Under what circumstances should adenoidal cystitis be investigated? If there are long-term recurrent episodes of urinary frequency, urinary urgency, painful urination, hematuria, long duration of the disease, anti-inflammatory medication is ineffective, and the abdomen, perineum, lower abdomen on both sides of the left and right, stinging and swelling of the external urethra, adenoidal cystitis should be investigated. If the above symptoms are not cured for more than six months, most of them are misdiagnosed and mistreated, so you should pay more attention to them. 3.What tests can be done to confirm the diagnosis of adenoid cystitis? Urinalysis, ultrasound or CT alone cannot confirm the diagnosis of adenocystitis with frequent urination as the first symptom. Currently, cystoscopy and biopsy are the only reliable tests for adenoid cystitis. The first is to do a routine urinalysis plus an examination of the external urethra, which is often overlooked by physicians and may miss the opportunity to detect urethral meatus stones, strictures, and infections; the second is to check to rule out kidney disease as the source of the urinary tract; and the last is to do a cystoscopy as well as a urodynamic examination. With these tests, 95% of patients with urinary frequency and urgency can be identified for a variety of diseases, including adenoid cystitis, bladder mucosal leukoplakia, interstitial cystitis, chronic cystitis, bladder tumors, and neurogenic bladder. Adenoid cystitis has the following characteristics under cystoscopy: 1. The lesions are mainly located in the triangle and cyst neck; 2. The lesions are polycentric. They are often scattered, in patches or clusters; 3. They are polymorphic. There is a mixture of papillary, lobulated, and follicular lesions without vascularization; 4. 4.What is the current clinical treatment for adenoid cystitis? There are various treatments for adenocystitis, including simple intravesical irrigation, simple electrodesiccation, partial cystectomy, and even total cystectomy. The choice of treatment depends on the clinical symptoms of the patient, the location, size and shape of the lesion and the complications caused by the different methods. After discharge, you should return to the hospital to give medicated bladder irrigation once a week for six to eight weeks. The instillation is painless and simply works by delivering the medication to the bladder through a catheter, allowing the medication to come into full contact with the bladder. If necessary, psychotherapy and physical training must also be performed. For extensive intravesical lesions involving the triangle and bladder neck, or if local adenocarcinoma has been found, radical cystectomy should be performed, but the choice of surgery should be carefully considered in terms of the extent of the lesion, the severity of the disease, and the patient’s quality of life in the future. For patients who do not undergo surgery, regular cystoscopy is an essential surveillance tool to help detect the progression of the lesion and to monitor the suspected tissue pathologically.