Use of high-dose vitamin C and Suby G solution in the treatment of encrusted cystitis

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Abstract

This article describes a clinical case of the successful use of high doses of vitamin C and Suby G solution to reduce urine acidity in a patient with encrusted cystitis. The previously used combination of oral methionine intake and intravesical instillations of a 3% aqueous boric acid solution was ineffective. As part of comprehensive therapy, transurethral resections of bladder wall encrustations were performed, along with antibacterial therapy with vancomycin. The obtained results indicate the potential effectiveness of this combination; however, further clinical studies are needed to verify them.

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About the authors

Inga V. Kosova

Russian Medical Academy of Continuous Professional Education; Demikhov City Clinical Hospital (branch №2)

Email: kosovainga@mail.ru
ORCID iD: 0000-0002-0051-0583

M.D., Dr. Med. Sc., Assoc. Prof., Professor at the Department of Urology and Surgical Andrology, Urologist at the Department of Urology (branch №2)

Russian Federation, Moscow; Moscow

Vagan A. Barsegian

European Medical Center

Author for correspondence.
Email: vaganbarsegyan@gmail.com
ORCID iD: 0000-0003-0592-3181

M.D., Ph.D., Urologist, Urology Clinic

Russian Federation, Moscow

Oleg B. Loran

Russian Medical Academy of Continuous Professional Education

Email: oleg_loran@gmail.com
ORCID iD: 0000-0002-7531-1511

Academician of the RAS, Dr. Med. Sc, Professor, Chief of the Department of Urology and Surgical Andrology

Russian Federation, Moscow

Vladimir S. Saenko

Sechenov University

Email: saenko_vs@staff.sechenov.ru
ORCID iD: 0000-0003-3107-8161

M.D., Dr. Med. Sc., Assoc. Prof., Professor at the Institute of Urology and Human Reproductive Health

Russian Federation, Moscow

Dmitriy N. Kolbasov

Demikhov City Clinical Hospital (branch №2)

Email: urology68@rambler.ru

M.D., Ph.D., Chief of the Department of Urology №2

Russian Federation, Moscow

Nikolay A. Grigoriev

European Medical Center

Email: ngrigoriev@emcmos.ru

M.D., Dr. Med. Sc., Professor, Chief of the Urology Clinic, Chief of the Department of Urology, EMC Medical School

Russian Federation, Moscow

References

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. CT scan of the urinary system organs with intravenous contrast. A — the proximal curl of the internal ureteral stent on the right, B — multiple concretions of the left kidney

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3. Fig. 2. CT scan of the urinary system organs with intravenous contrast. Uneven calcification of the bladder mucosa

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4. Fig. 3. Cystoscopic picture. Encrustations on the mucous membrane of the bladder

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5. 4. Cystoscopic picture 2 months after the start of treatment

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