Pediatric Urological Complications with Intraoperative Radiation Therapy

Abstract
Intraoperative radiotherapy with variable energy electrons has been as a supplemental boost to treat 6 children with locally advanced retroperitoneal malignancies. Of the patients 4 had treatment-related injuries to portions of the urinary tract within the intraoperative and external radiation fields. Three patients had significant renal impairment requiring surgical correlation. The pathogenesis and management of treatment-induced injury to the urinary tract are discussed.