401. Hyperbaric oxygen: primary treatment of radiation-induced hemorrhagic cystitis
- Author
-
Edwin C. Neville and Jeffrey P. Weiss
- Subjects
Adult ,Male ,medicine.medical_specialty ,Stress incontinence ,Urology ,Prostatitis ,Uterine Cervical Neoplasms ,Hemorrhage ,Cystitis ,medicine ,Humans ,Telangiectasis ,Radiation Injuries ,Pelvis ,Aged ,Hematuria ,Aged, 80 and over ,Hyperbaric Oxygenation ,Urinary bladder ,business.industry ,Prostatic Neoplasms ,Middle Aged ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Anesthesia ,Sphincter ,Primary treatment ,Female ,Complication ,business ,Hemorrhagic cystitis - Abstract
Of 8 patients with symptoms of advanced cystitis due to pelvic radiation treated with hyperbaric oxygen 7 are persistently improved during followup. All 6 patients treated for gross hematuria requiring hospitalization have been free of symptoms for an average of 24 months (range 6 to 43 months). One patient treated for stress incontinence currently is dry despite little change in bladder capacity, implying salutary effect from hyperbaric oxygen on the sphincter mechanism. One patient with radiation-induced prostatitis failed to respond. This experience suggests that hyperbaric oxygen should be considered the primary treatment for patients with symptomatic radiation-induced hemorrhagic cystitis.
- Published
- 1989