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Accession number;99A0415044
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| Title;Treatment Plan for Bladder Tamponade. |
| Author;
NAKAJIMA KEIJI
(Saga Med. Sch.)
SOEJIMA KYOKO
(Saga Med. Sch.)
TOKUDA YUJI
(Saga Med. Sch.)
NAKAMURA KOJI
(Saga Med. Sch.)
SATO SHINJI
(Saga Med. Sch.)
FUJIYAMA CHISATO
(Saga Med. Sch.)
ICHIGI YASUHISA
(Saga Med. Sch.)
MASAKI ZENJIRO
(Saga Med. Sch.)
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Journal Title;Nishinihon Journal of Urology
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Journal Code:Z0253B
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ISSN:0029-0726
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VOL.61;NO.3;PAGE.220-224(1999)
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| Figure&Table&Reference;FIG.6, TBL.1, REF.5 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Bladder tamponade resulting from severe vesical hemorrhage is often refractory to treatment. We report our management of 28 such cases(10 males and 18 females). Bladder bleeding was due to cancer in 8, radiation cystitis in 9, both these causes in 2 and other causes in 9 cases. Evacuation of the clots was the first procedure followed by saline irrigation. This initial line of treatment was able to control the hemorrhage in half the patients. For the remaining cases, instillation of Maalox, irrigation of alum and transurethral coagulation were used as the second or third line of treatment, either independently or in combination. In all cases, the hematuria could be controlled without any serious side effects. Blood transfusion was required in 12 cases. The effect of the treatments appeared to depend upon the causes of the bleeding. Radiation cystitis was most intractable to treatment, whilst alum irrigation was the most effective form of treatment. In addition to the treatment choice, our experience in managing patients suggests that obstruction of the catheter often causes serious hemorrhage during treatment. It is thus essential to pay attention to this matter and if it occurs, to take care of the problem quickly. (author abst.) |
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