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Hematuria caused by Telangiectasia of the bladder

User
Posted 13 Sep 2020 at 13:38

I was first diagnosed with prostate cancer in 2008 and underwent quite a lot of radiotherapy at the time. The cancer was cured but in 2016 it returned and had spread to the lymph nodes. This time I had chemo and hormone therapy and am pleased to say that my cancer has responded well and I have been having no cancer treatment since February 2019. Of course, I'm still having 3 monthly blood tests and see my consultant every 6 months.

Then last November, right out of the blue, I peed blood. I was referred for a cystoscopy and was told that the blood vessels in my bladder (Telangiectasia) had been damaged by the radiotherapy, and this had caused the bleeding. I was given no treatment and it was assumed to be a one-off. Then in May 2020, I had another big bleed. This time I had to be catheterised because I had a blockage due to the blood clots and had to spend 3 days in hospital to have my bladder flushed. Again I had a cystoscopy and was given the same verdict. I was prescribed Finasteride because the drug is known to shrink the prostate to help to reduce the pressure on the bladder wall. I was warned that his drug can lead to a lower PSA reading, so I made my oncologist aware that I was taking it. Then last week I had yet another bleed and again had to be catheterised and spent another 3 days in hospital. The doctor has again given me the same diagnosis but has referred me for a CT scan, just to 'dot the i's and cross the 't's', in his words. He mentioned that if the scan comes back clear, they may be able to offer me some other treatment in addition to the Finasteride. I'm not sure at this stage what form this could take.

I'm sure there must be loads of men out there who have experienced this problem after radiotherapy and would be interested to know of your experiences. Because the bleeding occurs without warning, it is difficult to plan one's life and with the added complication of the pandemic, it is playing havoc with my mental health.

User
Posted 13 Sep 2020 at 15:47

Skellyboy

A combination of surgery , self dilations, numerous excursions into the bladder and RT has just about destroyed my bladder. A few months post salvage RT I started passing blood , clots and some strange tissue structures. 

Oncology blamed urology and vice versa. An out of area to prof in Manchester confirmed RT damage and said unfortunately no miracle cure.

As time progressed the bleeding etc reduced and so did the bladder capacity, I can't even fill a sample bottle. I now have a SPC for life.

No one has ever mentioned Telangiectasia. 

Last week I was in a Zoom meeting and based on the above info the opinion was there is no hope of any treatment being successful.

Thanks Chris

Edited by member 13 Sep 2020 at 20:36  | Reason: Spelling

User
Posted 11 Dec 2020 at 13:48

Hi

I’ve started to suffer from this a couple of times over the past few months. I’ve also seen it referred to as radiation cystitis. I agree that the sudden occurrence without warning is alarming.

I have seen that hyperbaric oxygen treatment is a known therapy for this, as it shrinks distended blood vessels and also aids the healing process.

I’m going to start this at a Multiple Sclerosis treatment centre in January, once a week for twenty weeks. It’s self pay as it’s not available on the NHS but at £15 a session it’s not prohibitively expensive.

Hopefully it will help.

All the best to you.

 

 

 

User
Posted 11 Dec 2020 at 14:28

Trevor 

I tried the hyperbaric oxygen treatment, it didn't save my bladder but I think I was too far gone by the time I started in the chamber. I think I paid £12 a session and had two or three a week for a few weeks. I got a discount because of the cancer diagnosis. Very few medics understand pelvic radiation damage. Who has advised on the frequency of your treatment ( you can't name professionals on here) just indicate type of person.

Happy to answer any questions you may have on the treatment.

Thanks Chris

 

Edited by member 11 Dec 2020 at 14:29  | Reason: Not specified

User
Posted 11 Dec 2020 at 16:06

Hi Chris

Sorry to hear it was too late for you. Hopefully I’ll have more luck by starting sooner. The frequency I’ve had suggested is once a week by the MS Centre, from their past experiences. I wonder if doing it too frequently doesn’t give the effects time to take hold between sessions?

Thanks, Trevor

User
Posted 11 Dec 2020 at 18:06

Trevor , there seems to have been some research and trials since I had treatment. One trial suggested 5 days a week, post treatment I did think my 2/3 days was not enough, but the centre was only open 3 days a week.

There does seem to be some good success stories with the treatment.

Thanks Chris

User
Posted 21 Jul 2025 at 18:45

Hi Trev
Wonder if I can draw on your experience of using Hyperbaric Oxygen to help with your radiation cystitis. I’m new to this forum & just picked up on your experiences from some years ago. I am experiencing similar issues & have just started this therapy in Nottingham ( I wonder - looking at your description - if you used the same MS facility ). I cannot get any information from either my oncologist or urologist - very frustrating. I’ve opted to use this therapy - 3 or 4 sessions per week. Did you experience any improvement 🤞. One of the questions I’m trying to get answered - is 2 atmospheres deep enough to aid some form of improvement. I also note that ColwickChris suffered in the same way & I wonder if we have all attempted to remedy using the same centre.

Any advice very much appreciated.

User
Posted 21 Jul 2025 at 20:20

Trevor hasn't logged in since posting that reply, getting on for 5 years ago.
Chris is still active on here.

User
Posted 21 Jul 2025 at 20:37

Noah, as I said in my previous post I think my treatment was a bit too late, not sure I can remember how many atmospheres they used for my treatment. Where are you being treated.. What treatment did you have for your cancer.

Thanks Chris 

User
Posted 21 Jul 2025 at 21:03

Hi folks, it’s the old Trevor - I’m still here, but had to create a new account.

I have had a very positive experience with HBO Therapy over the last five years, treated at 3 atmospheres.

I started with three sessions a week for a month, then down to two a week for another month, followed by once a week. After a couple of years I settled at a “maintenance” level of once a fortnight.

In that time I took a break to see what would happen, and after about six weeks the nagging pain in the groin returned, so before any bleeds occurred I went back to my weekly routine.

So far, after five years, I have only had one small bleed, and in my case I am certain the success in keeping it at bay it is down to the HBO Therapy.

11 years on from my original treatment I am just now having radiotherapy for a recurrence in lymph nodes, so have gone back to twice a week.

As with all medics my current oncologist has no medical opinion to give on its efficacy, so he expressed his tacit support by saying “I’ve heard anecdotally that it can help, and improve the success of the radiotherapy”.

I’m fortunate to be able to go to a local MS Centre in Kent who provide it at cost (£20 a session) so it is affordable.

I hope this reassures you that it is worth a try to see if it works for you.

 

User
Posted 21 Jul 2025 at 21:09
That’s great to hear Trevor.

I guess my one question - and one that my clinicians seem unable to answer - is the depth required.

My local facility goes to a depth of 2 atmospheres - the nearest ‘3 atmospheres’ facility is unfortunately 80 miles away.

User
Posted 21 Jul 2025 at 21:15

Thanks Chris.
My treatment took the form of Hormone therapy & Radiotherapy ( 5 sessions over a 10 day period - the PACE trial ).
Completed my radiotherapy in March ‘24 but my pelvic radiation disease didn’t kick in until a couple of months ago.
I suspect - given your ‘name’ - that you used the same oxygen chambers as me. I.e. the Multiple Sclerosis facility near Colwick.

Cheers
Noah

Edited by member 21 Jul 2025 at 21:18  | Reason: Not specified

User
Posted 21 Jul 2025 at 21:24

I’d suggest 2 atmospheres on the basis that in my opinion this it is better trying this than not doing it all. Are your symptoms clear enough for you to identify yourself if it works?

A 160 mile round trip may be feasible for once a week but I’d be knackered doing that any more frequently!

User
Posted 21 Jul 2025 at 21:32
My thoughts exactly Trevor.

I have been prescribed medication ( Solifenacin ) for the constant bladder urgency & occasional incontinence & hence I would struggle to gauge any reduction in urgency as a result of the medication or oxygen therapy.

I guess therefore the only marker would be whether I’m passing blood.

I’ve had just 6 sessions thus far but plan - after a few days away in a couple of weeks time - regularly booking 3 sessions per week ( the local facility is only open 3 days per week ).

User
Posted 21 Jul 2025 at 21:37

I think that’s a sound move - you’ve nothing to lose and won’t be doing yourself any harm.

Good luck x

User
Posted 21 Jul 2025 at 21:49

Noah, I was being a bit cagey, people who answer five year old posts often turn out not to be genuine. I did also try some acupuncture in the lady bay area for urgency, a bit more expensive than the HBO. Going back to my previous answer my damage was very severe, I did stop bleeding but probably because there was nothing left to bleed. My bladder capacity is probably around 50mls, that is 50 not 500. I was prescribed trospium chloride for my bladder spasms, there is some evidence about it  not crossing the brain barrier. As Trevor suggested it is well worth trying the HBO.

Trevor interesting that you had the HBO with your lymph radiation treatment.

Thanks Chris 

User
Posted 21 Jul 2025 at 22:14

Hi Chris

I figured that it’s worked so far, so it seems to suit me, and I’d I would add it to the arsenal for the recurrence.

 
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