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Updated: Apr 8, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Superselective vesical artery embolisation in the management of haemorrhagic radiation cystitis
Tulio Fabiano De Oliveira Leite1, Daladie Parreira2, Thiago Franchi Nunes3,4
1Interventional Radiology Unit, Túlio Radiologia Intervencionista LTDA, Uberlandia, Brazil.
Abstract:
Radiation-induced haemorrhagic cystitis (HC) is a late complication of radiotherapy. Haematuria may be refractory to medical or endoscopic treatment. Case 1 is a patient who underwent pelvic radiotherapy for bladder cancer. The patient developed radiation-induced HC 5 years after radiotherapy. Case 2 is a patient who underwent total prostatectomy followed by salvage radiotherapy and developed radiation-induced HC 15 years later. In both cases, transarterial embolisation of the vesical arteries was performed after refractoriness to medical treatment without recurrence. Transarterial embolisation of the vesical arteries is a potential treatment option for refractory radiation-induced HC.
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