How would you manage radiation cystitis in a vulvar cancer patient still receiving EBRT with known history of cystocele and who is otherwise hemodynamically stable?   

For me, this is a very confusing question. First, I am not sure what is meant by "radiation cystitis." The question seems to imply that the patient is having hematuria as a component of the radiation cystitis diagnosis. In my long career, I have never seen a patient have noticeable hematuria during ...

Urinary symptoms (acute cystitis, non-infective) during pelvic radiation are not uncommon. I generally rule out a UTI which RT +/- chemo can precipitate (and mimic the symptoms) and manage symptomatically with Pyridium for the dysuria which is usually the most common complaint. Acute urinary urgency...