Massive hematuria successfully treated by bladder irrigations with formalin solution
✍ Scribed by Dr. C. Servadio; I. Nissenkorn
- Book ID
- 101325160
- Publisher
- John Wiley and Sons
- Year
- 1976
- Tongue
- English
- Weight
- 189 KB
- Volume
- 37
- Category
- Article
- ISSN
- 0008-543X
No coin nor oath required. For personal study only.
✦ Synopsis
A report is presented on the use of formalin irrigation of the bladder in the management of massive hematuria i n patients with inoperable tumors or as a result of radiation therapy. In 7 of 8 patients in whom this method was adopted, bleeding from the bladder stopped completely.
Cancer 37:900-902, 1976.
N PATIENTS WITH INOPERABLE TUMORS OF THE
I urinary bladder or cystitis following radiation therapy or chemotherapy, a known complication is severe hematuria, requiring repeated blood transfusions. T h e accumulation of blood clots in the bladder very often seriously impairs the passage of urine, leads to acute retention, causes recurrent infection, all of which may be life-threatening. T h e proposed treatments for this condition such as electrocautery of the bleeding foci by cystoscopy, ligation of the hypogastric arteries, steroid or estrogen therapy, continuous irrigation of the urinary bladder with silver nitrate, inflation of a balloon, and various other treatm e n t ~' -~ are rarely effective in checking the bleeding in such cases.
In 1969 Brown was the first to treat hematuria with irrigation of the bladder with formalin solution. The present paper reports on our experience with this method.