What question did this study set out to answer?

This research aims to evaluate the efficacy of transarterial embolisation for managing refractory radiation-induced haemorrhagic cystitis.

April 8, 2026

Superselective vesical artery embolisation in the management of haemorrhagic radiation cystitis

Key Points

This research aims to evaluate the efficacy of transarterial embolisation for managing refractory radiation-induced haemorrhagic cystitis.
Two case reports of patients with radiation-induced haemorrhagic cystitis after radiotherapy.
Patient 1 underwent pelvic radiotherapy for bladder cancer; Patient 2 underwent prostatectomy and salvage radiotherapy.
Transarterial embolisation of the vesical arteries was performed after medical treatment failed.
Both patients experienced no recurrence after transarterial embolisation treatment.
The procedure provided a successful alternative to medical and endoscopic approaches.

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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