Chronic Radiation cystitis: a review of medical and surgical management

  • Manjeet Kumar Assistant Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India
  • Sanjeev Sharma PG Scholar, Rajiv Gandhi Government post graduate Ayurvedic college and hospital Paprola, Distt Kangra, HP, India
  • Pawan Kaundal Assistant Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India
  • Kailash Chander Barwal Associate Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India
  • Girish Kumar Sharma Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India
  • Pamposh Raina Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Abstract

Radiation cystitis is a complication of radiation treatment given for pelvic malignancies. Radiation cystitis can present as mild symptoms of dysuria, frequency, and hematuria to severe life-threatening complications like intractable hematuria, bladder perforation and contracted non-functional urinary bladder, fistula etc. Treatment is tailored according to the severity of symptoms and available treatment modalities sequentially. Initial treatment of hematuria is intravenous fluids, blood transfusions, cystoscopy and fulguration, irrigation with intravesical agents like alum, hyperbaric oxygen therapy, angioembolisation, urinary diversion and surgery (cystectomy). Radiation cystitis is associated with short- and long-term complications in pelvic malignancies patients. Early diagnosis, follow up, treatment is crucial for decreasing morbidity and mortality in these patients. In this review article we describe the current protocol in diagnosing and managing radiation cystitis.


Keywords Pelvis, Radiation, Hematuria, intravesical treatments, Alum, formalin

Keywords: Pelvis, Radiation, Hematuria, intravesical treatments, Alum, formalin

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Author Biographies

Manjeet Kumar, Assistant Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Assistant Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Sanjeev Sharma, PG Scholar, Rajiv Gandhi Government post graduate Ayurvedic college and hospital Paprola, Distt Kangra, HP, India

PG Scholar, Rajiv Gandhi Government post graduate Ayurvedic college and hospital Paprola, Distt Kangra, HP, India

Pawan Kaundal, Assistant Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Assistant Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Kailash Chander Barwal, Associate Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Associate Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Girish Kumar Sharma, Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Pamposh Raina, Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

Professor, Department of Urology, IGMC Shimla, Himachal Pradesh, India

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1.
Kumar M, Sharma S, Kaundal P, Barwal KC, Sharma GK, Raina P. Chronic Radiation cystitis: a review of medical and surgical management. JDDT [Internet]. 15May2023 [cited 14Apr.2024];13(5):78-1. Available from: https://jddtonline.info/index.php/jddt/article/view/5805