Abstract

DURAN, EDUARDO; GUZMAN, FERNANDO  and  MONSALVE, GUILLERMO A. HYPERBARIC OXYGEN THERAPY IN TREATMEN POST-RADIOTHERAPY HEMORRHAGIC CYSTITIS: EXPERIENCE OF HOSPITAL MILITAR CENTRAL IN BOGOTÁ. rev.fac.med [online]. 2007, vol.15, n.2, pp.290-297. ISSN 0121-5256.

The objective of this work is to describe the clinical course of the pelvic post-radiotherapy hemorrhagic cystitis with hyperbaric oxygen therapy. A descriptive, retrospective, series of cases were studied, analyzing the clinical records of 10 patientes atended in the Service of Hyperbaric Medicine of Hospital Militar Central in Bogotá, which were referred from the Service of Urology of the same Institution with diagnosis of post-radiotherapy hemorrhagic cystitis, in a time span from January/2001 to February/2007. The results were tabulated with the predetermined variables and were processed in Excel. Distribution of patients showed that 70% were males, the mean age was 74.3 years (63-88), 70% had post-radiotherapy cistitis and proctitis, while the remaining had only cystitis. All the males were irradiated because of prostate cancer while the females were irradiated because of cervix cancer. 40% received brachytherapy. The mean of HBO (hyperbaric oxygen therapy) sessions was 12 (7-15). The average of time of the onset of the symptoms to the starting of the HBO was 16.4 months, and the follow-up was in average 1.6 months. All the patients were free of bleeding at the end of the following-up period. These results allowed us to conclude that the hyperbaric oxygen therapy is a useful and a safe alternative in the treatment of the patients with post-radiotherapy hemorrhagic cistitis.

Keywords : hyperbaric oxygenation; cystitis; radiation.