How would you manage radiation cystitis in a vulvar cancer patient still receiving EBRT with known history of cystocele and who is otherwise hemodynamically stable?
If the radiation cystitis is hemorrhagic without clots how would you manage this?
Answer from: Radiation Oncologist at Academic Institution
For me, this is a very confusing question. First, I am not sure what is meant by "radiation cystitis." The question seems to imply that the patient is having hematuria as a component of the radiation cystitis diagnosis. In my long career, I have never seen a patient have noticeable hematuria during ...
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Answer from: Radiation Oncologist at Academic Institution
Urinary symptoms (acute cystitis, non-infective) during pelvic radiation are not uncommon. I generally rule out a UTI which RT +/- chemo can precipitate (and mimic the symptoms) and manage symptomatically with Pyridium for the dysuria which is usually the most common complaint. Acute urinary urgency...