Single Dose Whole Pelvis Megavoltage Irradiation for Palliative Control of Hematuria or Ureteral Obstruction

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Abstract
Of 7 patients with bladder carcinoma whose medical condition or disease status prevented an operation, 5 had intractable vesical hemorrhage and 2 had progressive azotemia caused by ureteral obstruction. These patients were treated with pelvic irradiation of 1000 rad single doses. Four patients received 3 doses 3-4 wk apart and 1 patient received 2 doses at a 4 wk interval. Prompt cessation of bleeding occurred in all patients and renal function improved in the 2 patients with ureteral obstruction.