Supportive care measures become priority when patients are too debilitated for invasive procedure

● Bladder spasm

Causes: vesicular irritation by cancer, postradiation fibrosis, indwelling catheter, cystits, Anxiety

- Management

Antibiotics (cystitis)

Catheter change, bladder irrigation

Medication

Oxybutynin chloride (Ditropan): 5mg tid

NSAIDS

Blocks of lumbar sympathetic plexus (intractable Bladder pain)