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Intravesical Agents in the Treatment of Bladder Clots in Children
Marcello Della Corte1,2, Erica Clemente3, Elisa Cerchia2
1Division of Urology, Department of Oncology, School of Medicine, San Luigi Gonzaga Hospital, University of Turin, Regione Gonzole 10, 10043 Orbassano, Italy.
Insights
Bladder blood clots in children are rare but can cause significant issues. This review explores conservative, non-surgical treatments using intravesical agents for clot removal.
Area of Science:
- Pediatric Urology
- Urologic Pathology
Background:
- Bladder blood clots are an uncommon pediatric urinary issue, often stemming from hematuria due to infections or trauma.
- Current treatments include bladder irrigation and endoscopic removal, which can be challenging in young boys.
Purpose of the Study:
- To review and summarize conservative, non-surgical management strategies for bladder blood clots in children.
- To analyze the advantages of intravesical agent instillation techniques.
Main Methods:
- Literature review of described conservative techniques for bladder blood clot management in pediatric patients.
- Analysis of strategies involving intravesical agent instillation.
Main Results:
- Few anecdotal non-surgical approaches for pediatric bladder blood clots exist.
- Intravesical agents represent a potential conservative treatment avenue.
Conclusions:
- Conservative management, particularly with intravesical agents, warrants further investigation for pediatric bladder blood clots.
- Minimally invasive options may offer advantages over traditional surgical interventions.
Abstract:
Bladder blood clots represent an infrequent urinary condition in children. They usually result from hematuria with many underlying causes, such as urinary tract infections and urethral/bladder traumas. Treatment options for clot removal include trans-urethral or suprapubic bladder irrigation and, if unsuccessful, endoscopic management under general anesthesia with a resectoscope. In younger male children, however, the repeated passage of a trans-urethral resectoscope may be challenging and traumatic, due to the small lumen diameter. Eventually, an open surgical approach can be required in many patients. Few anecdotal non-surgical approaches have been proposed for the management of bladder blood clots in children. This review aims to summarize the conservative techniques described in the literature with the instillation of intravesical agents, analyzing the different strategies and their advantages.
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