Management of a Giant Urinary Bladder Clot with Intravesical Thrombolysis

Nonato, Mahara Barbosa; Moraes, Reinaldo Santos; Herênio, Yuree Milhomem Bandeira; Nunes, Thiago Franchi

doi:10.1016/j.jvir.2022.10.010

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2023

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“…Lastly, a recent work by Nonato et al in 2023 [ 32 ] focused on a tissue plasminogen activator. They treated an 85-year-old patient with 33 mL of a solution composed of 15 U of recombinant tissue plasminogen activator with 90 mL of saline.…”

Section: Resultsmentioning

confidence: 99%

Intravesical Agents in the Treatment of Bladder Clots in Children

et al. 2023

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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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Section: Resultsmentioning

confidence: 99%