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Continuous bladder irrigation in the monoplace hyperbaric chamber: Two case reports.

Jeffrey S Cooper, Peter Allinson, Dana Winn

    Undersea & Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc
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    PubMed
    Summary
    This summary is machine-generated.

    Continuous bladder irrigation (CBI) can be safely administered in a monoplace hyperbaric chamber for radiation-induced hemorrhagic cystitis. This method supports healing while managing clot formation during hyperbaric oxygen (HBO2) therapy.

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    Area of Science:

    • Oncology
    • Urology
    • Hyperbaric Medicine

    Background:

    • Radiation therapy can cause hemorrhagic cystitis, a debilitating side effect.
    • Current treatments include bladder irrigation and hyperbaric oxygen (HBO2) therapy.
    • Hemorrhagic cystitis can necessitate cystectomy, carrying significant complication and mortality risks.

    Observation:

    • Continuous bladder irrigation (CBI) is often required to manage clot formation in hemorrhagic cystitis.
    • Administering CBI within a hyperbaric chamber presents challenges with clot accumulation.
    • A novel method for providing CBI within a monoplace hyperbaric chamber was developed.

    Findings:

    • The described method successfully maintained CBI within a monoplace hyperbaric chamber.
    • Readily available equipment facilitates uninterrupted CBI for hemorrhagic cystitis patients.
    • The integration of CBI and HBO2 therapy was achieved.

    Implications:

    • This technique allows for concurrent treatment of hemorrhagic cystitis with CBI and HBO2.
    • It potentially mitigates side effects of interventions in previously irradiated tissues.
    • Offers a viable option for managing complex cases of radiation-induced hemorrhagic cystitis.