Refractory hematuria post actinic cystitis. Role of potassium alumen as treatment - Case Report

<p>Actinic cystitis hematuria is a frequent complication after pelvic radiotherapy, present in approximately 5% of patients exposed to this therapy. The management of these cases seems to be a challenge for today's urologists. In this article, we present the case of a 73- year-old man dia...

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Glavni autori: João Ernesto Aldred Pinto Filho (Autor), Pedro Henrique Ejje Kailly (Autor), Ruston da Matta Louback Filho (Autor), Juan Miguel Renteria (Autor), Antonio Claudio (Autor), Ahouagi Cunha (Autor)
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Izdano: Global Journal of Medical and Clinical Case Reports - Peertechz Publications, 2022-05-27.
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100 1 0 |a João Ernesto Aldred Pinto Filho  |e author 
700 1 0 |a  Pedro Henrique Ejje Kailly  |e author 
700 1 0 |a  Ruston da Matta Louback Filho  |e author 
700 1 0 |a  Juan Miguel Renteria  |e author 
700 1 0 |a  Antonio Claudio  |e author 
700 1 0 |a Ahouagi Cunha  |e author 
245 0 0 |a Refractory hematuria post actinic cystitis. Role of potassium alumen as treatment - Case Report 
260 |b Global Journal of Medical and Clinical Case Reports - Peertechz Publications,   |c 2022-05-27. 
520 |a <p>Actinic cystitis hematuria is a frequent complication after pelvic radiotherapy, present in approximately 5% of patients exposed to this therapy. The management of these cases seems to be a challenge for today's urologists. In this article, we present the case of a 73- year-old man diagnosed with actinic cystitis after pelvic radiotherapy and admitted to our service with a clinical picture of refractory macroscopic hematuria. During admission, the patient underwent multiple procedures and blood transfusions, without success in controlling hematuria. After a review of the literature, we chose to use Potassium Alum in the patient's treatment. Under general anesthesia, we performed a cystoscopy with the evacuation of clots and subsequently infused a 1% solution of potassium alum into the bladder at a rate of 200 ml/h for 25 hours. Less than 24 hours after Alum infusion, there were no more clinical signs of hematuria, which remained until hospital discharge. After 6 months of treatment, the patient did not present another episode of hematuria.</p> 
540 |a Copyright © João Ernesto Aldred Pinto Filho et al. 
546 |a en 
655 7 |a Case Report  |2 local 
856 4 1 |u https://doi.org/10.17352/2455-5282.000153  |z Connect to this object online.