Diagnosis of Acute Hemorrhagic Cystitis

Park, Moon Soo; Kim, Kwang Myung; Choi, Hwang; Kim, Si Whang

Abstract

Acute hemorrhagic cystitis characterized by gross hematuria and bladder irritation symptoms of sudden onset occurs in children as a self-limited disease that must be differentiated from serious renal or bladder disorders. In our study, it occurred frequently in male and spontaneously subsided approximately 10 days later. Ultrasonography or IVP is thought necessary as an initial diagnostic work up. Reviewing the diagnostic steps and course of our own cases, we have reached a conclusion : ultrasonography or excretory urography is thought to be performed as a follow up study rather than as an initial study. If there is no improvement of symptoms during conservative treatment period, radiological study is valid. If bladder malignancy is suspected on the radiological study, we better do follow up ultrasonography or voiding cystourethrogram 2 weeks later and not do cystoscopy and biopsy immediately.