A Novel Approach for the Treatment of Radiation-Induced Hemorrhagic Cystitis with the GreenLight<sup>™</sup> XPS Laser

<title>ABSTRACT</title><sec><title>Introduction:</title><p>The treatment of pelvic malignancies with radiotherapy can develop severe sequelae, especially radiation-induced hemorrhagic cystitis. It is a progressive disease that can lead to the need for blood transf...

Full description

Bibliographic Details
Main Authors: Daniel Roberto Martinez, Cesar E Ercole, Juan Gabriel Lopez, Justin Parker, Mary K Hall
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2015-06-01
Series:International Brazilian Journal of Urology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000300584&lng=en&tlng=en
_version_ 1828823912866119680
author Daniel Roberto Martinez
Cesar E Ercole
Juan Gabriel Lopez
Justin Parker
Mary K Hall
author_facet Daniel Roberto Martinez
Cesar E Ercole
Juan Gabriel Lopez
Justin Parker
Mary K Hall
author_sort Daniel Roberto Martinez
collection DOAJ
description <title>ABSTRACT</title><sec><title>Introduction:</title><p>The treatment of pelvic malignancies with radiotherapy can develop severe sequelae, especially radiation-induced hemorrhagic cystitis. It is a progressive disease that can lead to the need for blood transfusion, hospitalizations, and surgical interventions. This tends to affect the quality of life of these patients, and management can at times be difficult. We have evaluated the GreenLight Xcelerated Performance System (XPS) with TruCoag, although primarily used for management of benign prostatic hypertrophy (BPH), for the treatment of radiation-induced hemorrhagic cystitis.</p></sec><sec><title>Materials and Methods:</title><p>After International Review Board (IRB) approval, a retrospective chart review was performed in addition to a literature search. A series of four male patients, mean age of 81 years, with radiation-induced hemorrhagic cystitis secondary to radiotherapy for pelvic malignancies (3 prostate cancer, 1 rectal cancer) were successfully treated with the GreenLight laser after unsuccessful treatment with current therapies described in the literature.</p></sec><sec><title>Results:</title><p>All four patients treated with the GreenLight laser had resolution of their hematuria after one treatment and were discharge from the hospital with clear urine.</p></sec><sec><title>Conclusion:</title><p>The GreenLight XPS laser shows promising results for the treatment of patients with radiation-induced hemorrhagic cystitis, and deserves further evaluation and validation, especially since there is limited data available in the literature regarding the use of this technology for the treatment of this devastating condition.</p></sec>
first_indexed 2024-12-12T13:44:59Z
format Article
id doaj.art-c8348ccd22344088af9d71037224f78a
institution Directory Open Access Journal
issn 1677-6119
language English
last_indexed 2024-12-12T13:44:59Z
publishDate 2015-06-01
publisher Sociedade Brasileira de Urologia
record_format Article
series International Brazilian Journal of Urology
spelling doaj.art-c8348ccd22344088af9d71037224f78a2022-12-22T00:22:42ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192015-06-0141358458710.1590/S1677-5538.IBJU.2014.0411S1677-55382015000300584A Novel Approach for the Treatment of Radiation-Induced Hemorrhagic Cystitis with the GreenLight<sup>™</sup> XPS LaserDaniel Roberto MartinezCesar E ErcoleJuan Gabriel LopezJustin ParkerMary K Hall<title>ABSTRACT</title><sec><title>Introduction:</title><p>The treatment of pelvic malignancies with radiotherapy can develop severe sequelae, especially radiation-induced hemorrhagic cystitis. It is a progressive disease that can lead to the need for blood transfusion, hospitalizations, and surgical interventions. This tends to affect the quality of life of these patients, and management can at times be difficult. We have evaluated the GreenLight Xcelerated Performance System (XPS) with TruCoag, although primarily used for management of benign prostatic hypertrophy (BPH), for the treatment of radiation-induced hemorrhagic cystitis.</p></sec><sec><title>Materials and Methods:</title><p>After International Review Board (IRB) approval, a retrospective chart review was performed in addition to a literature search. A series of four male patients, mean age of 81 years, with radiation-induced hemorrhagic cystitis secondary to radiotherapy for pelvic malignancies (3 prostate cancer, 1 rectal cancer) were successfully treated with the GreenLight laser after unsuccessful treatment with current therapies described in the literature.</p></sec><sec><title>Results:</title><p>All four patients treated with the GreenLight laser had resolution of their hematuria after one treatment and were discharge from the hospital with clear urine.</p></sec><sec><title>Conclusion:</title><p>The GreenLight XPS laser shows promising results for the treatment of patients with radiation-induced hemorrhagic cystitis, and deserves further evaluation and validation, especially since there is limited data available in the literature regarding the use of this technology for the treatment of this devastating condition.</p></sec>http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000300584&lng=en&tlng=enCystitisTherapeuticsLasersRadiotherapy
spellingShingle Daniel Roberto Martinez
Cesar E Ercole
Juan Gabriel Lopez
Justin Parker
Mary K Hall
A Novel Approach for the Treatment of Radiation-Induced Hemorrhagic Cystitis with the GreenLight<sup>™</sup> XPS Laser
International Brazilian Journal of Urology
Cystitis
Therapeutics
Lasers
Radiotherapy
title A Novel Approach for the Treatment of Radiation-Induced Hemorrhagic Cystitis with the GreenLight<sup>™</sup> XPS Laser
title_full A Novel Approach for the Treatment of Radiation-Induced Hemorrhagic Cystitis with the GreenLight<sup>™</sup> XPS Laser
title_fullStr A Novel Approach for the Treatment of Radiation-Induced Hemorrhagic Cystitis with the GreenLight<sup>™</sup> XPS Laser
title_full_unstemmed A Novel Approach for the Treatment of Radiation-Induced Hemorrhagic Cystitis with the GreenLight<sup>™</sup> XPS Laser
title_short A Novel Approach for the Treatment of Radiation-Induced Hemorrhagic Cystitis with the GreenLight<sup>™</sup> XPS Laser
title_sort novel approach for the treatment of radiation induced hemorrhagic cystitis with the greenlight sup ™ sup xps laser
topic Cystitis
Therapeutics
Lasers
Radiotherapy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382015000300584&lng=en&tlng=en
work_keys_str_mv AT danielrobertomartinez anovelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser
AT cesareercole anovelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser
AT juangabriellopez anovelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser
AT justinparker anovelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser
AT marykhall anovelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser
AT danielrobertomartinez novelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser
AT cesareercole novelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser
AT juangabriellopez novelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser
AT justinparker novelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser
AT marykhall novelapproachforthetreatmentofradiationinducedhemorrhagiccystitiswiththegreenlightsupsupxpslaser