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Organo Oficial de la Sociedad Mexicana de Urología

2005, Number 6

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Rev Mex Urol 2005; 65 (6)

Hematuria of vesical origin management with Bismuto solution as hemostatic agent

Beltrán SE, Viveros CC, Lugo GJA, Hernández HJA, González TVM

Language: Spanish
References: 18
Page: 416-422
PDF size: 95.10 Kb.


ABSTRACT

Objective. To present that Bismuto’s employment is a therapeutic valid option, with one a verified efficiency, it is a sure, cheap and effective substance for which we demonstrate its efficiency in patients with hematuria of vesical origin. Material and methods. Patients were studied identified with hematuria of vesical origin divided in two groups in random form, the first group received managing with irrigation vesical by means of cistoclisis previous wash and extraction of the clots, to the second group realize Bismuto’s application in solution 30 cc across probe of Foley which will remain closed by space of 30 minutes and the evolution of the hematuria was evaluated in a whole of three applications. Results. There was studied a whole of 40 patients with hematuria of vesical origin, with a range of ages of between 35 and 89 years of both sexes. In the group of Bismuto’s application pipe improvement in 75% of the cases, and 15% of them did not present improvement in the evolution of the hematuria and therapeutic other one was necessary, the patients with fault in the therapeutic one with Bismuto (3) were those who had the diagnoses of vesical cancer (2) and endometrial cancer (1). In the group of Bismuto’s application improvement of the hematuria who had in an average of 30 hours by a range of between 6 and 48 hours.


REFERENCES

  1. Mariani AJ. The evaluation of adult hematuria: a clinical update. AUA updates SERIES 1998; 17: 186.

  2. Sutton JM. Evaluation of hematuria in adults. JAMA 1990; 263: 2475.

  3. Thorisdottir H, Ratnoff OD, Maniglia AJ. Activation of Hageman factor (factor XII) by bismuth subgallate, a hemostatic agent. J Lab Clin Med 1988; 112(4): 481-6.

  4. Choong SK, Walkden M, Kirby R. The management of intractable haematuria. BJU International 2000; 86(9): 951-9.

  5. deVries CR, Freiha FS. Hemorrhagic cystitis: a review. J Urol 1990; 143(1): 1-9.

  6. Figueroa-Damian R, Rubio-Castaneda AJ. Hemorrhagic cystitis in pregnancy: report of a case and analysis of its treatment. Ginecología y Obstetricia de México 1996; 64: 544-6.

  7. Kotecha B, Fowler S, Harkness P, Walmsley J, Brown P, Topham J. Management of epistaxis: a national survey. Ann R Coll Surg Engl 1996; 78(5): 444-6.

  8. Kung NN, Sung JJ, Yuen NW. Anti-Helicobacter pylori treatment in bleeding ulcers: randomized controlled trial comparing 2-day versus 7-day bismuth quadruple therapy. Am J Gastroenterol 1997; 92(3): 438-41.

  9. McGuire EJ, Weiss RM, Schiff M Jr, Lytton B. Hemorrhagic radiation cystitis. Treatment Urology 1974; 3(2): 204-8.

  10. 10.Saab M, Randall PE. Nasal packing for epistaxis: two methods compared. Eur J Emerg Med 1997; 4(1): 44.

  11. 11.Sarnak MJ, Long J, King AJ. Intravesicular formaldehyde instillation and renal complications. Clinical Nephrology 1999; 51(2): 122-5.

  12. 12.Sibert L, Khalaf A, Bugel H, Sfaxi M, Grise P. Intravesical dimethyl sulfoxide instillations can be useful in the symptomatic treatment of profuse hematuria due to eosinophilic cystitis. Author J Urol 2000; 164(2): 446.

  13. 13.Tramoyeres CA, Sempere PF, Gorrea MA, Perales JLJ, Santolaya GJL. Treatment of hemorrhagic cystitis. Actas Urológicas Españolas 1981; 5(3): 201-4.

  14. 14.Tunuguntla HS, Bhandari M, Srivastava A, Kapoor R, Saha TK. Endoscopic injection sclerotherapy control of intractable hematuria following radiation-induced hemorrhagic cystitis. A novel approach. Arch Esp Urol 2000; 53(4): 396-402.

  15. 15.Rios GVJ, Caffaratti J. Intravesical formalin for the treatment of massive hemorrhagic cystitis: retrospective review of 25 cases. Eur Urol 1990; 18(3): 204-6.

  16. 16.West NJ. Prevention and treatment of hemorrhagic cystitis. Pharmacotherapy 1997; 17(4): 696-706.

  17. 17.Stewart BH, Shirley SW. Further experience with intravesical dimethyl sulfoxide in the treatment of interstitial cystitis. J Urol 1976; 116(1): 36-8.

  18. 18.Conley SF, Ellison. Avoidance of primary post-tonsillectomy hemorrhage in a teaching program. Arch Otolaryngol Head Neck Surg 1999; 125(3): 330-3.




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