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Haemorrhagic chronic radiation cystitis--following treatment of pelvic malignancies.
- Source :
-
Annals of the Academy of Medicine, Singapore [Ann Acad Med Singap] 1984 Oct; Vol. 13 (4), pp. 634-8. - Publication Year :
- 1984
-
Abstract
- Haemorrhagic chronic radiation cystitis is not an uncommon clinical entity, and should be suspected in patients with painless gross haematuria who have a past history of radiotherapy to the pelvic region. A series of 29 patients with haemorrhagic chronic radiation cystitis were managed in the University Department of Surgery, Singapore General Hospital over a 5 years period from 1979 to 1983. Cystodiathermy was the mainstay of treatment and was successful in controlling haematuria in 27 patients. Two patients developed uncontrolled haematuria, urinary tract infection, septicaemia and died giving mortality of 6.9%. Excellent control of haemorrhage can be obtained with cystodiathermy in the majority of patients. Intravesical instillation of steroid or silver nitrate is used for the more intractable cases, after cystodiathermy. Urinary diversion with or without cystectomy are desperate measures to salvage the severe case and mortality is high.
- Subjects :
- Adult
Aged
Cystitis pathology
Cystitis therapy
Cystoscopy
Diathermy
Female
Humans
Hydrocortisone therapeutic use
Male
Middle Aged
Silver Nitrate therapeutic use
Therapeutic Irrigation
Urinary Bladder pathology
Urinary Diversion
Cystitis etiology
Hematuria etiology
Pelvic Neoplasms radiotherapy
Radiotherapy adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 0304-4602
- Volume :
- 13
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Annals of the Academy of Medicine, Singapore
- Publication Type :
- Academic Journal
- Accession number :
- 6529148