Successful treatment of BK virus‐associated severe hemorrhagic cystitis with bilateral single‐J ureteral stenting
Introduction BK virus‐associated hemorrhagic cystitis is a significant complication of hematopoietic stem cell transplantation. Although severe BK virus‐associated hemorrhagic cystitis is associated with treatment‐related mortality, sufficient evidence regarding its management is lacking. Case prese...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-07-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.12445 |
| _version_ | 1811230748606201856 |
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| author | Akira Fujita Kohei Kobatake Takafumi Fukushima Kenshiro Takemoto Syunsuke Miyamoto Hiroyuki Kitano Kenichiro Ikeda Keisuke Goto Keisuke Hieda Shuhei Karakawa Tetsutaro Hayashi Jun Teishima Nobuyuki Hinata |
| author_facet | Akira Fujita Kohei Kobatake Takafumi Fukushima Kenshiro Takemoto Syunsuke Miyamoto Hiroyuki Kitano Kenichiro Ikeda Keisuke Goto Keisuke Hieda Shuhei Karakawa Tetsutaro Hayashi Jun Teishima Nobuyuki Hinata |
| author_sort | Akira Fujita |
| collection | DOAJ |
| description | Introduction BK virus‐associated hemorrhagic cystitis is a significant complication of hematopoietic stem cell transplantation. Although severe BK virus‐associated hemorrhagic cystitis is associated with treatment‐related mortality, sufficient evidence regarding its management is lacking. Case presentation A 14‐year‐old boy presented with BK virus‐associated hemorrhagic cystitis and bladder clot retention after hematopoietic stem cell transplantation. Various urological interventions failed to improve cystitis. While bladder clot retention frequently recurred, surgical intervention was difficult because of the underlying hematological disorder. Hence, bilateral single‐J ureteral stenting followed by Foley catheter placement was performed as a urinary diversion. The bladder clot completely disappeared 27 days after stenting. No additional procedure was required. BK virus‐associated hemorrhagic cystitis did not recur after the blood clot disappeared. Conclusion Bilateral single‐J ureteral stenting followed by Foley catheter placement is a simple and effective treatment method and should be considered before surgical intervention for severe BK virus‐associated hemorrhagic cystitis. |
| first_indexed | 2024-04-12T10:33:13Z |
| format | Article |
| id | doaj.art-f77f1974296a4438a4787392d2bbaa15 |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-04-12T10:33:13Z |
| publishDate | 2022-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-f77f1974296a4438a4787392d2bbaa152022-12-22T03:36:48ZengWileyIJU Case Reports2577-171X2022-07-015424224510.1002/iju5.12445Successful treatment of BK virus‐associated severe hemorrhagic cystitis with bilateral single‐J ureteral stentingAkira Fujita0Kohei Kobatake1Takafumi Fukushima2Kenshiro Takemoto3Syunsuke Miyamoto4Hiroyuki Kitano5Kenichiro Ikeda6Keisuke Goto7Keisuke Hieda8Shuhei Karakawa9Tetsutaro Hayashi10Jun Teishima11Nobuyuki Hinata12Department of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Pediatrics Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanDepartment of Urology Hiroshima University Hospital Hiroshima JapanIntroduction BK virus‐associated hemorrhagic cystitis is a significant complication of hematopoietic stem cell transplantation. Although severe BK virus‐associated hemorrhagic cystitis is associated with treatment‐related mortality, sufficient evidence regarding its management is lacking. Case presentation A 14‐year‐old boy presented with BK virus‐associated hemorrhagic cystitis and bladder clot retention after hematopoietic stem cell transplantation. Various urological interventions failed to improve cystitis. While bladder clot retention frequently recurred, surgical intervention was difficult because of the underlying hematological disorder. Hence, bilateral single‐J ureteral stenting followed by Foley catheter placement was performed as a urinary diversion. The bladder clot completely disappeared 27 days after stenting. No additional procedure was required. BK virus‐associated hemorrhagic cystitis did not recur after the blood clot disappeared. Conclusion Bilateral single‐J ureteral stenting followed by Foley catheter placement is a simple and effective treatment method and should be considered before surgical intervention for severe BK virus‐associated hemorrhagic cystitis.https://doi.org/10.1002/iju5.12445BK virushematopoietic stem cell transplantationhemorrhagic cystitisureteral stenturinary diversion |
| spellingShingle | Akira Fujita Kohei Kobatake Takafumi Fukushima Kenshiro Takemoto Syunsuke Miyamoto Hiroyuki Kitano Kenichiro Ikeda Keisuke Goto Keisuke Hieda Shuhei Karakawa Tetsutaro Hayashi Jun Teishima Nobuyuki Hinata Successful treatment of BK virus‐associated severe hemorrhagic cystitis with bilateral single‐J ureteral stenting IJU Case Reports BK virus hematopoietic stem cell transplantation hemorrhagic cystitis ureteral stent urinary diversion |
| title | Successful treatment of BK virus‐associated severe hemorrhagic cystitis with bilateral single‐J ureteral stenting |
| title_full | Successful treatment of BK virus‐associated severe hemorrhagic cystitis with bilateral single‐J ureteral stenting |
| title_fullStr | Successful treatment of BK virus‐associated severe hemorrhagic cystitis with bilateral single‐J ureteral stenting |
| title_full_unstemmed | Successful treatment of BK virus‐associated severe hemorrhagic cystitis with bilateral single‐J ureteral stenting |
| title_short | Successful treatment of BK virus‐associated severe hemorrhagic cystitis with bilateral single‐J ureteral stenting |
| title_sort | successful treatment of bk virus associated severe hemorrhagic cystitis with bilateral single j ureteral stenting |
| topic | BK virus hematopoietic stem cell transplantation hemorrhagic cystitis ureteral stent urinary diversion |
| url | https://doi.org/10.1002/iju5.12445 |
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