Melanosis of the Bladder: Possible Pathogenetic Mechanisms

Melanin accumulation within the bladder urothelium and/or macrophages in the lamina propria (melanosis of the bladder) is a very rare phenomenon of unknown pathogenesis. Its rarity argues for a complex, likely multifactorial, causation. We describe bladder melanosis developing after Botox therapy in...

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Main Authors: Justin E. Dupey, Sarah J. Wood, Richard Y. Ball
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2022/6221499
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author Justin E. Dupey
Sarah J. Wood
Richard Y. Ball
author_facet Justin E. Dupey
Sarah J. Wood
Richard Y. Ball
author_sort Justin E. Dupey
collection DOAJ
description Melanin accumulation within the bladder urothelium and/or macrophages in the lamina propria (melanosis of the bladder) is a very rare phenomenon of unknown pathogenesis. Its rarity argues for a complex, likely multifactorial, causation. We describe bladder melanosis developing after Botox therapy in an elderly woman with a history of overactive bladder, treated grade 2 uterovaginal prolapse, and episodes of urinary tract infection and speculate that one factor (probably of many) in its pathogenesis may be a derangement of local neurourothelial interactions.
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spelling doaj-art-e2c68a94446e4e8cba99c70999a3592d2025-08-20T02:21:14ZengWileyCase Reports in Urology2090-69782022-01-01202210.1155/2022/6221499Melanosis of the Bladder: Possible Pathogenetic MechanismsJustin E. Dupey0Sarah J. Wood1Richard Y. Ball2Norfolk and Waveney Cellular Pathology ServiceDepartment of UrologyNorfolk and Waveney Cellular Pathology ServiceMelanin accumulation within the bladder urothelium and/or macrophages in the lamina propria (melanosis of the bladder) is a very rare phenomenon of unknown pathogenesis. Its rarity argues for a complex, likely multifactorial, causation. We describe bladder melanosis developing after Botox therapy in an elderly woman with a history of overactive bladder, treated grade 2 uterovaginal prolapse, and episodes of urinary tract infection and speculate that one factor (probably of many) in its pathogenesis may be a derangement of local neurourothelial interactions.http://dx.doi.org/10.1155/2022/6221499
spellingShingle Justin E. Dupey
Sarah J. Wood
Richard Y. Ball
Melanosis of the Bladder: Possible Pathogenetic Mechanisms
Case Reports in Urology
title Melanosis of the Bladder: Possible Pathogenetic Mechanisms
title_full Melanosis of the Bladder: Possible Pathogenetic Mechanisms
title_fullStr Melanosis of the Bladder: Possible Pathogenetic Mechanisms
title_full_unstemmed Melanosis of the Bladder: Possible Pathogenetic Mechanisms
title_short Melanosis of the Bladder: Possible Pathogenetic Mechanisms
title_sort melanosis of the bladder possible pathogenetic mechanisms
url http://dx.doi.org/10.1155/2022/6221499
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