PMID- 27190887 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160518 LR - 20200930 IS - 2249-782X (Print) IS - 0973-709X (Electronic) IS - 0973-709X (Linking) VI - 10 IP - 4 DP - 2016 Apr TI - Treatment of Resistant Cyclophosphamide Induced Haemorrhagic Cystitis: Review of Literature and Three Case Reports. PG - PD15-6 LID - 10.7860/JCDR/2016/16948.7642 [doi] AB - Haemorrhagic Cystitis (HC) is defined as diffuse inflammatory bladder bleeding due to many aetiologies. Massive HC often arises from anticancer chemotherapy or radiotherapy for the treatment of pelvic malignancies. Phosphamides are the anti-cancer drugs used for treating breast cancer, B-cell lymphoma, leukemia, rheumatoid arthritis and systemic lupus erythaematosis by cross-linking strands of DNA and preventing the cell division. They are also used in bone marrow transplantation for prevention of Graft Versus Host Disease (GVHD). Hepatic metabolism of phosphamide forms acrolein, and acrolein makes ulceration, haemorrhage, edema and necrosis of the urothelium during its excretion by the urine. Infectious causes of HC in immunocomprimesed patients are adenovirus, BK polyoma-virus (BK), JC virus, and Cytomegalovirus (CMV). The present article attempts to make a review of literature for the treatment of intractable HC and report three cases with HC. FAU - Ebiloglu, Turgay AU - Ebiloglu T AD - Faculty, Department of Urology, Etimesgut Military Hospital , Ankara, Turkey . FAU - Kaya, Engin AU - Kaya E AD - Faculty, Department of Urology, Section of Pediatric Urology, Gulhane Military Medical Academy , Ankara, Turkey . FAU - Yilmaz, Sercan AU - Yilmaz S AD - Faculty, Department of Urology, Section of Pediatric Urology, Gulhane Military Medical Academy , Ankara, Turkey . FAU - Ozgur, Gokhan AU - Ozgur G AD - Faculty, Department of Heamatology, Gulhane Military Medical Academy , Ankara, Turkey . FAU - Kibar, Yusuf AU - Kibar Y AD - Faculty, Department of Urology, Section of Pediatric Urology, Gulhane Military Medical Academy , Ankara, Turkey . LA - eng PT - Case Reports DEP - 20160401 PL - India TA - J Clin Diagn Res JT - Journal of clinical and diagnostic research : JCDR JID - 101488993 PMC - PMC4866185 OTO - NOTNLM OT - Cidofoxin therapy OT - Clot OT - Haematuria EDAT- 2016/05/18 06:00 MHDA- 2016/05/18 06:01 PMCR- 2016/04/01 CRDT- 2016/05/19 06:00 PHST- 2015/09/22 00:00 [received] PHST- 2015/11/30 00:00 [accepted] PHST- 2016/05/19 06:00 [entrez] PHST- 2016/05/18 06:00 [pubmed] PHST- 2016/05/18 06:01 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - 10.7860/JCDR/2016/16948.7642 [doi] PST - ppublish SO - J Clin Diagn Res. 2016 Apr;10(4):PD15-6. doi: 10.7860/JCDR/2016/16948.7642. Epub 2016 Apr 1.