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Case Study: Thimble Small-Capacity Urinary Bladder

A 50-year-old female presented with a one-year history of the following symptoms:

  • Frequent urination every 30 minutes throughout the day and night

  • Severe urgency with inability to hold urine

  • Intense pelvic pain, both anteriorly and posteriorly

Initial urine examination revealed pus cells; however, urine culture showed no bacterial growth. A CT scan demonstrated a markedly small-capacity “thimble” urinary bladder.

Based on the clinical profile and imaging findings, the most probable diagnosis is Genitourinary Tuberculosis (TB).

To confirm the diagnosis and assess the extent of disease, the following investigations are recommended:

  • Cystoscopy with bladder biopsy
  • Micturating Cystourethrogram (MCU)

For long-term relief and improvement of bladder function, the patient will require:

  • Anti-tuberculosis therapy, followed by
  • Surgical bladder augmentation to increase bladder capacity and restore quality of life