Académique Documents
Professionnel Documents
Culture Documents
August 2016
Scope
Introduction
Hematuria
Incontinence
Uremia
Summary
Introduction
Urinary Symptoms 14% of referrals with symptoms
to palliative care services
Symptoms in 400 patients referred to palliative care services: prevalence and patterns.
Potter et al Pall Med 2003
Introduction
Conditions that may lead to urological symptoms
Cancers prostate, bladder, ureter, kidneys,
gynaecological
Infections upper/lower tract
Neurological Spinal cord lesions, MND
Drugs anti-cholinergics
Organ failure renal failure
Iatrogenic Post-radiation (radiation cystitis)
Hematuria
Defintion (American Urological Association)
Hematuria is defined as the presence of red
blood cells in the urine. When visible to the
patient, it is termed gross hematuria and is
usually alarming to patients. Microscopic
hematuria is that detected by the dipstick
method or microscopic examination of the
urinary sediment
Hematuria
Intervention Response Indication Remarks
Arterial 90% All causes May be combined
Occlusion with urinary
diversion
Formalin 90% Radiation Cystitis High complication
Instillation Recurrence after rate
combined approach
Alum 80% Sloughing Tumor Avoid in renal
Instillation Mass, impairment
Radiation Cystitis, Cheap
Cyclophosphamide
Induced
Hemorrhagic Cystitis
(CIHC)