[Hemorrhagic radiation cystitis: a transurethral treatment with formalin-soaked pledgets].
An 80-year-old woman presented with gross hematuria and clot retention about 20 years after postoperative radiation therapy for uterine cancer. Endoscopic evaluation revealed a hyperemic bladder mucosa and bleeding foci localized to the posterior wall. Electrocauterization and continuous bladder irrigation with normal saline failed to resolve the hemorrhage, Maalox (aluminum hydroxide/magnesium hydroxide) was instilled intravesically. The events of gross hematuria and clot retention recurred frequently, cotton pledgets soaked in 5% formalin were placed endoscopically onto the bleeding sites of the bladder posterior wall for 15 minutes with success. We consider this technique useful for intractable hemorrhage secondary to radiation cystitis.
Haraguchi
Takahiro
T
Department of Urology, Hyogo Prefectural Awaji Hospital.
Yamazaki
Takafumi
T
Takechi
Yoshizumi
Y
D000287:Administration, Topical; D000369:Aged, 80 and over; D003556:Cystitis / Q000188:drug therapy* / Q000209:etiology; D003558:Cystoscopy; D005260:Female; D005557:Formaldehyde / Q000008:administration & dosage*; D006470:Hemorrhage / Q000188:drug therapy* / Q000209:etiology; D006801:Humans; D011832:Radiation Injuries / Q000188:drug therapy*; D013630:Tampons, Surgical
D005557:Formaldehyde