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Review

Intravesical Agents in the Treatment of Bladder Clots in Children

by
Marcello Della Corte
1,2,*,
Erica Clemente
3,
Elisa Cerchia
2,
Sabrina De Cillis
1,
Enrico Checcucci
1,
Daniele Amparore
1,
Cristian Fiori
1,
Francesco Porpiglia
1 and
Simona Gerocarni Nappo
2
1
Division of Urology, Department of Oncology, School of Medicine, San Luigi Gonzaga Hospital, University of Turin, Regione Gonzole 10, 10043 Orbassano, Italy
2
Division of Pediatric Urology, Regina Margherita Hospital, 10126 Turin, Italy
3
Department of Medical Sciences, University of Turin, Via Verdi 8, 10124 Turin, Italy
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2023, 15(2), 282-292; https://doi.org/10.3390/pediatric15020024
Submission received: 31 December 2022 / Revised: 25 March 2023 / Accepted: 12 April 2023 / Published: 14 April 2023

Abstract

Bladder blood clots represent an infrequent urinary condition in children. They usually result from hematuria with many underlying causes, such as urinary tract infections and urethral/bladder traumas. Treatment options for clot removal include trans-urethral or suprapubic bladder irrigation and, if unsuccessful, endoscopic management under general anesthesia with a resectoscope. In younger male children, however, the repeated passage of a trans-urethral resectoscope may be challenging and traumatic, due to the small lumen diameter. Eventually, an open surgical approach can be required in many patients. Few anecdotal non-surgical approaches have been proposed for the management of bladder blood clots in children. This review aims to summarize the conservative techniques described in the literature with the instillation of intravesical agents, analyzing the different strategies and their advantages.
Keywords: bladder clots; children; pediatric urology; intravesical agents; blood clots; bladder instillation; endocavitary bladder clots; children; pediatric urology; intravesical agents; blood clots; bladder instillation; endocavitary

Share and Cite

MDPI and ACS Style

Della Corte, M.; Clemente, E.; Cerchia, E.; De Cillis, S.; Checcucci, E.; Amparore, D.; Fiori, C.; Porpiglia, F.; Gerocarni Nappo, S. Intravesical Agents in the Treatment of Bladder Clots in Children. Pediatr. Rep. 2023, 15, 282-292. https://doi.org/10.3390/pediatric15020024

AMA Style

Della Corte M, Clemente E, Cerchia E, De Cillis S, Checcucci E, Amparore D, Fiori C, Porpiglia F, Gerocarni Nappo S. Intravesical Agents in the Treatment of Bladder Clots in Children. Pediatric Reports. 2023; 15(2):282-292. https://doi.org/10.3390/pediatric15020024

Chicago/Turabian Style

Della Corte, Marcello, Erica Clemente, Elisa Cerchia, Sabrina De Cillis, Enrico Checcucci, Daniele Amparore, Cristian Fiori, Francesco Porpiglia, and Simona Gerocarni Nappo. 2023. "Intravesical Agents in the Treatment of Bladder Clots in Children" Pediatric Reports 15, no. 2: 282-292. https://doi.org/10.3390/pediatric15020024

APA Style

Della Corte, M., Clemente, E., Cerchia, E., De Cillis, S., Checcucci, E., Amparore, D., Fiori, C., Porpiglia, F., & Gerocarni Nappo, S. (2023). Intravesical Agents in the Treatment of Bladder Clots in Children. Pediatric Reports, 15(2), 282-292. https://doi.org/10.3390/pediatric15020024

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