Der Urologe

, Volume 56, Issue 3, pp 301–305 | Cite as

Radiogen bedingte Zystitis

Pathophysiologie und Therapie
  • S. Mühlstädt
  • N. Mohammed
  • K. Weigand
  • A. Schumann
  • F. Kawan
  • C. Göllert
  • P. Fornara


Die Strahlenzystitis (SZ) ist eine häufige Nebenwirkung einer Radiatio im Bereich des kleinen Beckens. Ihr klinisches Erscheinungsbild sowie ihr Ausprägungsgrad ebenso wie die therapeutischen Optionen sind mannigfaltig. Mangels randomisierter Untersuchungen sind evidente Empfehlungen jedoch schwierig. Unterschieden werden orale systemische Therapien, intravesikale Instillationen und Interventionen sowie interventionsradiologische und, als Ultima Ratio, chirurgische Maßnahmen. Der vorliegende Artikel gibt eine Übersicht über die unterschiedlichen Therapieoptionen mit besonderem Schwerpunkt auf den konservativ-interventionellen Behandlungsoptionen.


Bestrahlung Strahlenzystitis Hämaturie Harnblase Koagulation, transurethrale 

Radiation cystitis

Pathophysiology and treatment


Radiation cystitis (RC) is a common side-effect of radiation to the pelvis. Their clinical appearance as well as their degree of expression is manifold, as are the therapeutic options. However, in the absence of randomized examinations, recommendations are difficult. We differentiate between oral, systemic therapies, intravesical instillations and interventions as well as interventional, radiological and, as an ultima ratio, surgical treatments. This article provides an overview of the different treatment options with particular emphasis on the conservative-interventional therapy options.


Radiation Radiation cystitis Hematuria Urinary bladder Coagulation, transurethral 


Einhaltung ethischer Richtlinien


S. Mühlstädt, N. Mohammed, K. Weigand, A. Schumann, F. Kawan, C. Göllert und P. Fornara geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.


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Copyright information

© Springer Medizin Verlag Berlin 2017

Authors and Affiliations

  • S. Mühlstädt
    • 1
  • N. Mohammed
    • 1
  • K. Weigand
    • 1
  • A. Schumann
    • 1
  • F. Kawan
    • 1
  • C. Göllert
    • 1
  • P. Fornara
    • 1
  1. 1.Universitätsklinik für Urologie und NierentransplantationMartin-Luther-UniversitätHalle/SaaleDeutschland

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