Radiation cystitis : Pathophysiology and treatment

Radiation cystitis (RC) is a common side-effect of radiation to the pelvis. Their clinical appearance as well as their degree of expression is manifold, as are the therapeutic options. However, in the absence of randomized examinations, recommendations are difficult. We differentiate between oral, s...

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Bibliographic Details
Published in:Urologe. Ausgabe A 2017-03, Vol.56 (3), p.301-305
Main Authors: Mühlstädt, S, Mohammed, N, Weigand, K, Schumann, A, Kawan, F, Göllert, C, Fornara, P
Format: Article
Language:ger
Subjects:
Administration, Intravesical
Anti-Inflammatory Agents - administration & dosage
Combined Modality Therapy - methods
Cystectomy - methods
Cystitis - diagnosis
Cystitis - etiology
Cystitis - therapy
Dose-Response Relationship, Radiation
Evidence-Based Medicine
Female
Humans
Hyperbaric Oxygenation - methods
Male
Organ Sparing Treatments
Radiation Injuries - diagnosis
Radiation Injuries - etiology
Radiation Injuries - therapy
Radiotherapy Dosage
Radiotherapy, Conformal - adverse effects
Risk Factors
Treatment Outcome
Urological Agents - administration & dosage
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Description
Summary:Radiation cystitis (RC) is a common side-effect of radiation to the pelvis. Their clinical appearance as well as their degree of expression is manifold, as are the therapeutic options. However, in the absence of randomized examinations, recommendations are difficult. We differentiate between oral, systemic therapies, intravesical instillations and interventions as well as interventional, radiological and, as an ultima ratio, surgical treatments. This article provides an overview of the different treatment options with particular emphasis on the conservative-interventional therapy options.
ISSN:0340-2592
1433-0563
DOI:10.1007/s00120-017-0319-2