Pediatric cystectomy for refractory cystitis post-bone marrow transplant in dyskeratosis congenita: A case report

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Abstract

We present a case of refractory cystitis after BK-virus associated hemorrhagic cystitis following bone marrow transplantation requiring cystectomy in a 17-year-old female with genetically confirmed dyskeratosis congenita, a telomere disorder characterized by early bone marrow failure. She presented with a contracted, small bladder with intense urinary symptoms non-responsive to conservative therapy and requiring opioids for pain control. Cystectomy is a rare, final surgical treatment for benign bladder conditions, especially among younger patients, and she experienced successful resolution of symptoms and cessation of chronic opioids post-intervention.

Original languageEnglish (US)
Article number102163
JournalUrology Case Reports
Volume44
DOIs
StatePublished - Sep 2022

Keywords

  • BK Virus
  • Cystectomy
  • Cystitis
  • Dyskeratosis congenita
  • Hemorrhagic cystitis

ASJC Scopus subject areas

  • Urology

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