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

B A Lowe, T A Stamey
Journal of Urology 1997, 158 (2): 528-9

PURPOSE: A useful technique for treating localized bladder hemorrhage secondary to radiation cystitis is described.

MATERIALS AND METHODS: Cotton pledgets soaked in 5% formalin are placed endoscopically onto bleeding foci of the bladder for 15 minutes and then removed.

RESULTS: 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.

CONCLUSIONS: Topical application of formalin soaked pledgets is an effective method of controlling localized bleeding secondary to radiation cystitis.

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