Figure 5From: The method of bladder drainage in spinal cord injury patients may influence the histological changes in the mucosa of neuropathic bladder – a hypothesisPhotograph of bladder biopsy (H-3411/98): A 53-year old male sustained C-5 tetraplegia in a car accident 23 years ago. He has chronic indwelling urethral catheter. Histology shows bladder mucosa covered by predominantly metaplastic epithelium. Only a small amount of normal urothelium is present. The metaplastic epithelium consists of pseudo-stratified columnar cells, with occasional interspersed goblet cells but without cilia. This probably represents a stage in the development of intestinal metaplasia. The stroma contains acute and chronic inflammatory infiltrate.Back to article page