[Continous bladder irrigation with amikacin as adjuvant treatment for emphysematous cystitis]
Arch Esp Urol. 2007 Dec;60(10):1.218-1.220
Authors: Cortés González JR, Ortiz Lara GE, Arratia Maqueo JA, Gómez Guerra LS
OBJECTIVE: To demonstrate that continuos intravesical irrigation with amikacin is an effective adyuvant treatment in Emphisematous Cistitis therapy. METHODS: A 3 way transurethral Foley catheter was placed and a continuous intravesical irrigation was initiated with amikacin 500 mg in 1L of normal saline (500 micrograms per ml) within 6 hours 4 times a day and three consecutive days. RESULTS: After 3 days of treatment the patient showed significant clinical response. A new CT scan showed the absence of gas in the bladder wall compared to the previews CT and negative urine culture was obtained. CONCLUSIONS: We established that treatment using adjuvant continuous intravesical irrigation with amikacin can reduce hospital stay and accelerate the patient's healing process, as well as an earlier negativisation of urine cultures. A comparative prospective study is needed to evaluate if in fact this treatment variant produces a real benefit compared to conventional therapy.
PMID: 18273983 [PubMed - indexed for MEDLINE]
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