Page 6 - Diagnosis and management of radiation-induced hemorrhagic cystitis
P. 6
Initial management
• Assessment of a patient complaining of hematuria post-radiation
therapy should identify or exclude other pathologic factors that may
explain or contribute to the patients symptoms (Grade 4C).
• All patients with hematuria should undergo at least one initial
cystoscopy with or without fulguration of suspect lesions and biopsy of
any lesions concerning for malignancy for diagnostic and therapeutic
purposes (Grade 3C).
• Laser therapy and endoscopic use of hemostatic agents may play a role
in early management of RHC but insufficient data exists to evaluate
their efficacy and safety, and long-term followup is needed prior to any
recommendations being made (Grade 3D).
