To the editor: High-dose cyclophosphamide chemotherapy can be complicated by haemorrhagic cystitis, probably due to the effect of acrolein, a breakdown product, on the urothelium. The cystitis is occasionally fatal (1). The concurrent use of mesna (sodium 2-mercaptoethanesulphonate) has decreased the incidence of this complication (2). We report here the successful use of topical prostaglandin E2 (dinoprostone) in controlling severe chronic haemorrhagic cystitis after cyclophosphamide therapy to condition a bone marrow transplant recipient.
Published: Ann Intern Med. 1984;101(1):142.