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Factors Facilitating the Emergence of Overactive Bladder in Adults With Childhood Voiding Disorder


1 Health Science University, Kütahya Faculty of Medicine, Department of Urology, Turkey 
2 Hitit University, Faculty of Medicine, Department of Urology, Turkey
3 Pamukkale University, Faculty of Medicine, Department of Urology, Turkey 
4 Antalya Training and Research Hospital, Department of Urology, Turkey
 


DOI : 10.33719/yud.691829
New J Urol. 2020; 15-(3): 189-193
Abstract

Abstract

A 36 year- old male patient who had received an allogeneic stem cell transplanta-tion from a non- familial identical donor for the treatment of non- Hodgkin lymphoma 19 days ago admitted to the emergency de-partment with macroscopic hematuria. A BK virus induced hematuria was diagnosed and conservative measures failed to get his heamaturia under control.Hyperbaric oxygen therapy and  Cidofovir treatment had also failed. Then bilateral percutaneous neph-rostomies were inserted followed by selec-tive angioembolization of vesical arteries one week later. Two weeks after angioembo-lization both nephrostomies were clamped sequentially and the patient was able to pass urine comfortably without any haematuria. Management of heamorrhagic cystitis by a stepwise, rapid multi-disciplinary approach can be a critical factor in the success of stem cell transplantation.

Keywords: angioembolization, cystitis, hematuria, lymphoma, stem cell transplanta-tion.

Abstract

A 36 year- old male patient who had received an allogeneic stem cell transplanta-tion from a non- familial identical donor for the treatment of non- Hodgkin lymphoma 19 days ago admitted to the emergency de-partment with macroscopic hematuria. A BK virus induced hematuria was diagnosed and conservative measures failed to get his heamaturia under control.Hyperbaric oxygen therapy and  Cidofovir treatment had also failed. Then bilateral percutaneous neph-rostomies were inserted followed by selec-tive angioembolization of vesical arteries one week later. Two weeks after angioembo-lization both nephrostomies were clamped sequentially and the patient was able to pass urine comfortably without any haematuria. Management of heamorrhagic cystitis by a stepwise, rapid multi-disciplinary approach can be a critical factor in the success of stem cell transplantation.

Keywords: angioembolization, cystitis, hematuria, lymphoma, stem cell transplanta-tion.

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