American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2020, 8(4), 103-105
DOI: 10.12691/ajmcr-8-4-3
Open AccessCase Report

An Interesting Non-Radiation Cause of Cystitis in a Patient Followed with a Pre-Diagnosis of Radiation Cystitis: Surgical Suture Material, Prolene

Cenk Ahmet Sen1, and Hakan Ozturk2

1Department of Radiation Oncology, Medical Park Izmir Hospital, Izmir, Turkey

2Department of Urology, Medical Park Izmir Hospital, Izmir, Turkey

Pub. Date: February 19, 2020

Cite this paper:
Cenk Ahmet Sen and Hakan Ozturk. An Interesting Non-Radiation Cause of Cystitis in a Patient Followed with a Pre-Diagnosis of Radiation Cystitis: Surgical Suture Material, Prolene. American Journal of Medical Case Reports. 2020; 8(4):103-105. doi: 10.12691/ajmcr-8-4-3

Abstract

Radiation cystitis is a condition caused by urinary bladder injury due to radiation, and is characterized by a need to urinate often and a burning sensation when urinating. A patient who was receiving radiotherapy after being operated on for cervical cancer developed intense cystitis symptoms during treatment that continued for a long time that indicated radiation association. A cystoscopy was decided upon due to the long-term symptoms, and after the removal of a suture detected in the bladder, all symptoms resolved. The tendency to associate problems with radiation in patients receiving radiotherapy may sometimes mask the actual cause. This report aims to draw attention to such situations, and to present an interesting case of cystitis that developed due to a non-radiation cause.

Keywords:
radiation cystitis cystoscopy surgical suture material prolene

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References:

[1]  Crew JP, Jephcott CR, Reynard JM. Radiation-induced haemorrhagic cystitis. Eur Urol. 2001; 40: 111-23.
 
[2]  Marks LB, Carroll PR, Dugan TC, Anscher MS. The response of the urinary bladder, urethra, and ureter to radiation and chemotherapy. Int J Radiat Oncol Biol Phys. 1995; 31: 1257-80.
 
[3]  Linder BJ, Tarrell RF, Boorjian SA. Cystectomy for refractory hemorrhagic cystitis: contemporary etiology, presentation and outcomes. J Urol. 2014; 192: 1687-92.
 
[4]  Alkan I, Jeschke S, Leeb K, Albquami N, Janetschek G. Treatment of radiation-induced hemorrhagic cystitis with laparoscopic cystoprostatectomy. Urol Int. 2006; 77: 190-2.
 
[5]  Fergany AF, Moussa AS, Gill IS. Laparoscopic cystoprostatectomy for radiation-induced hemorrhagic cystitis. J Endourol. 2009; 23: 275-8.
 
[6]  Thompson A, Adamson A, Bahl A, Borwell J, Dodds D, Heath C et al. Guidelines for the Diagnosis, Prevention and Management of Chemical- and Radiation-Induced Cystitis. Journal of Clinical Urology. 2014; 7: 25–35.
 
[7]  Denton AS, Clarke N, Maher J. Non-surgical interventions for late radiation cystitis in patients who have received radical radiotherapy to the pelvis. Cochrane Database of Systematic Reviews. 2002; 3: CD001773.
 
[8]  Marks LB, Carroll PR, Dugan TC, Anscher MA. The response of the urinary bladder, urethra and ureter to radiation and chemotherapy. Int. J. Radiat. Oncol. Biol. Phys. 1995; 31: 1257-80.
 
[9]  Levenback C, Eifel PJ, Burke TW, Morris M, Gershenson DM. Hemorrhagic cystitis following radiotherapy for stage Ib cancer of the cervix. Gynecol. Oncol. 1994; 55: 206-10.
 
[10]  Smit SG, Heyns CF. Management of radiation cystitis. Nat Rev Urol. 2010; 7: 206-14.
 
[11]  Cox JD et al. Int J Radiat Oncol Biol Phys. 1995; 31.1341-6.
 
[12]  Jain S, Loblaw DA, Morton GC, Danjoux C, Szumacher E, Chu W, et al. The effect of radiation technique and bladder filling on the acute toxicity of pelvic radiotherapy for localized high risk prostate cancer. Radiother Oncol. 2012; 105: 193-7.
 
[13]  Sveistrup J, af Rosenschöld PM, Deasy JO, Oh JH, Pommer T, Petersen PM, et al. Improvement in toxicity in high risk prostate cancer patients treated with image-guided intensity-modulated radiotherapy compared to 3D conformal radiotherapy without daily image guidance. Radiat Oncol. 2014; 9: 44.