Loading
Bladder and Urothelial Cancer Treatments / Polyomavirus and Related Diseases · Journal article
Tạp Chí Y Học Cộng Đồng · September 10, 2026
Early or partial results. Treat as a signal, not a conclusion.
This is a single-centre case series of 15 patients with radiation-induced hemorrhagic cystitis refractory to medical and endoscopic treatment, treated with selective bladder artery embolization. Thirteen of 15 patients (87%) achieved clinical success (cessation of hematuria) at 3-month follow-up with no major complications reported; the design is observational and uncontrolled, limiting evidence strength but suggesting the intervention may be safe and effective for this refractory population.
Single-centre uncontrolled case series. 15 patients with hemorrhagic cystitis following radiation therapy for pelvic cancers (rectal, cervical, prostate cancer), presenting with persistent bleeding, cystoscopic evidence of inflammatory vascular proliferation, and thickened bladder wall on MSCT; all had failed medical treatment and endosc…. Intervention: Selective embolization of bladder arteries (superior, middle, and/or inferior bladder artery). n = 15. Bach Mai Hospital, Radiology Department (Vietnam).
14 of 15 patients (93%) achieved technical success of embolization procedure 13 of 15 patients (87%) achieved clinical success with no hematuria at 3-month follow-up 1 patient had dissection of vascular wall requiring contralateral approach
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
For clinicians managing refractory radiation-induced hemorrhagic cystitis, this small series suggests selective bladder artery embolization may be a safe alternative when medical and endoscopic approaches fail. However, the uncontrolled design and single-centre setting mean this result should inform clinical judgment rather than change practice without further evidence from comparative or larger studies.
Single-centre case series of 15 patients with uncontrolled hemorrhagic cystitis treated with arterial embolization; real clinical outcome but uncontrolled design, no comparator, and small sample limit strength of evidence.
As stated by the source record.
Quoted from the source exactly as published.
For clinicians managing refractory radiation-induced hemorrhagic cystitis, this small series suggests selective bladder artery embolization may be a safe alternative when medical and endoscopic approaches fail. However, the uncontrolled design and single-centre setting mean this result should inform clinical judgment rather than change practice without further evidence from comparative or larger studies.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Abstract Hemorrhagic cystitis is a common complication after radiation therapy for pelvic cancers: rectal cancer, cervical cancer, and prostate cancer. This pathology causes prolonged bleeding, and medical treatment and hemostasis after endoscopy are ineffective. Objectives: To initially evaluate the results of embolization in the treatment of cystitis after radiotherapy to the pelvic region. Subjects and research methods: from July 2021 to August 2025 at Radiology Department - Bach Mai Hospital, there were 15 patients with cystitis after radiation therapy with persistent bleeding, cystoscopy with inflammation vascular proliferation, MSCT of the thickened bladder wall, medical treatment, endoscopic hemostasis are not effective. These patients were selected for superior bladder artery embolization, middle bladder artery, and inferior bladder artery and followed up for 1, 3, and 6 months. Results: 15 patients with different blood loss status. 14 patients were technically successful (1 patient had a dissection of the vascular wall requiring embolization from the contralateral side), 13 clinically successful patients were no longer hematuria after 3 months, 1 patient had dysmenorrhea. urination, 1 patient still had hematuria after the intervention. No major complications Conclusion: Embolization for the treatment of hematuria due to cystitis after radiation therapy is a safe and effective treatment.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.