Hemorrhagic radiation cystitis: a transurethral treatment with formalin-soaked pledgets
Haraguchi, T.; Yamazaki, T.; Takechi, Y.
Hinyokika Kiyo. Acta Urologica Japonica 53(8): 585-587 Dscussion 587
2007
ISSN/ISBN: 0018-1994 PMID: 17874553 Document Number: 606946
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.