Radiation cystitis in acute admissions for haematuria

• Published in: New Zealand medical journal Vol. 137; no. 1589; pp. 39 - 45
• Main Authors: Thompson, Nasya, Frampton, Chris, Losco, Giovanni
• Format: Journal Article
• Language: English
• Published: New Zealand 02.02.2024
• Subjects: Cystitis - complications; Cystitis - therapy; Hematuria - etiology; Hospitalization; Humans; Length of Stay; New Zealand - epidemiology; Patient Readmission; Retrospective Studies; New Zealand
• ISSN: 1175-8716; 1175-8716
• DOI: 10.26635/6965.6321

To assess the outcomes of patients with haematuria from radiation cystitis admitted to Christchurch Hospital's Urology Service and identify treatment differences and hospitalisation trends. From November 2021 to January 2023, a retrospective analysis of 144 acute haematuria admissions was conducted. Data covered demographics, diagnosis, surgeries, complications and hospital stay length. Predictive factors for admissions and surgical interventions were explored. Of the 144 admissions, 22 (15.3%) were diagnosed with radiation cystitis. The management strategies for radiation cystitis and non-radiation cystitis patients showed no significant differences in transfusion requirements, anti-bleeding medication usage (finasteride and/or tranexamic acid), or the need for acute or elective surgery. The average length of stay for admission was similar between the groups (radiation cystitis: 3.7 days, non-radiation cystitis: 3.5 days, p<0.05), but the readmission rate was significantly higher for radiation cystitis patients (59.1% vs 25.4%, p<0.01). The management and hospital stay duration were similar for both cohorts; radiation cystitis patients faced increased readmissions, underscoring the necessity for rigorous monitoring and subsequent care. Upcoming research should target refining early interventions and management methods.