Endoscopic topical placement of formalin soaked pledgets to control localized hemorrhage due to radiation cystitis

A useful technique for treating localized bladder hemorrhage secondary to radiation cystitis is described. Cotton pledgets soaked in 5% formalin are placed endoscopically onto bleeding foci of the bladder for 15 minutes and then removed. There was immediate cessation of prolonged bleeding refractory...

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Bibliographic Details
Published inThe Journal of urology Vol. 158; no. 2; p. 528
Main Authors Lowe, B A, Stamey, T A
Format Journal Article
LanguageEnglish
Published United States 01.08.1997
Subjects
Administration, Topical
Aged
Cystitis - complications
Cystoscopy
Formaldehyde - administration & dosage
Hemorrhage - drug therapy
Hemorrhage - etiology
Humans
Male
Radiation Injuries - complications
Tampons, Surgical
Urinary Bladder Diseases - drug therapy
Urinary Bladder Diseases - etiology
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Summary:A useful technique for treating localized bladder hemorrhage secondary to radiation cystitis is described. Cotton pledgets soaked in 5% formalin are placed endoscopically onto bleeding foci of the bladder for 15 minutes and then removed. There was immediate cessation of prolonged bleeding refractory to intravesical saline, alum, prostaglandin E1 and estrogen. No subsequent bleeding was noted during 16 months of followup. Topical application of formalin soaked pledgets is an effective method of controlling localized bleeding secondary to radiation cystitis.
ISSN:0022-5347
DOI:10.1016/S0022-5347(01)64527-0