Endoscopic neodymium:YAG laser treatment of radiation-induced hemorrhagic cystitis.
Hemorrhagic cystitis is a debilitating complication of radiation therapy for pelvic malignancy. Forty-two such patients with intractable hematuria underwent endoscopic Nd:YAG laser coagulation under local anesthesia between January 1990 and July 1992. The laser power was kept at < or = 30 W and the pulse duration < or = 3 s. Control of bleeding was achieved in 39 patients after one sitting and in 2 patients after two sittings of laser treatment. There were no complications of the procedure and recurrence of bleeding was not seen in any of the patients achieving CR at a mean follow-up period of 14 months. With modifications in the safety guidelines, we recommend laser treatment as the initial procedure of choice in patients with hemorrhagic radiation cystitis.
Ravi
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Department of Genitourinary Surgery, Cancer Institute (WIA), Adyar, Madras, India.
D000328:Adult; D000368:Aged; D003556:Cystitis / Q000209:etiology / Q000601:surgery*; D003558:Cystoscopy; D005260:Female; D006417:Hematuria / Q000601:surgery; D006470:Hemorrhage / Q000601:surgery*; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D017075:Laser Coagulation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011832:Radiation Injuries / Q000601:surgery*