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  • Title: [Hemorrhagic radiation cystitis: a transurethral treatment with formalin-soaked pledgets].
    Author: Haraguchi T, Yamazaki T, Takechi Y.
    Journal: Hinyokika Kiyo; 2007 Aug; 53(8):585-7; dscussion 587. PubMed ID: 17874553.
    Abstract:
    An 80-year-old woman presented with gross hematuria and clot retention about 20 years after postoperative radiation therapy for uterine cancer. Endoscopic evaluation revealed a hyperemic bladder mucosa and bleeding foci localized to the posterior wall. Electrocauterization and continuous bladder irrigation with normal saline failed to resolve the hemorrhage, Maalox (aluminum hydroxide/magnesium hydroxide) was instilled intravesically. The events of gross hematuria and clot retention recurred frequently, cotton pledgets soaked in 5% formalin were placed endoscopically onto the bleeding sites of the bladder posterior wall for 15 minutes with success. We consider this technique useful for intractable hemorrhage secondary to radiation cystitis.
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