[{"data":1,"prerenderedAt":163},["ShallowReactive",2],{"sanity-BTiGFutFVqW7KIhN5D_6HBavV0TSswzDiw5B-ie36_M":3},{"data":4,"sourceMap":-1},{"assessment":5,"clinicalReview":20,"definition":28,"evidence":33,"hero":78,"key":91,"meta":92,"pathways":96,"patientExperiences":108,"relatedReading":133},{"_type":6,"heading":7,"image":8,"introduction":14,"items":15},"assessment","Choosing Safe, Consultant-Led HBOT for Radiation Induced Cystitis",{"_type":9,"alt":10,"height":11,"src":12,"width":13},"baseImage","Dr Nur speaking with a patient during a medical consultation at NUMA",610,"\u002Fresources\u002Fimages\u002Fconsultation.webp",805,"HBOT is a medical treatment that requires specialist assessment and prescription to ensure it is safe, appropriate and tailored to your clinical needs. Treatment is provided alongside your existing urological and oncological care.",[16,17,18,19],"Review of medical history, symptoms, imaging, cystoscopy findings and specialist reports","HBOT suitability and individualised HBOT prescription","Discussion of evidence, potential benefits and limitations","Ongoing medical supervision and treatment review",{"_type":21,"heading":22,"introduction":23,"primaryAction":24},"clinicalReview","Hyperbaric Oxygen Therapy for Radiation-Induced Cystitis Following Radiotherapy, Chemotherapy and Stem Cell Transplantation","A clinical review of the evidence for HBOT in radiation-induced cystitis, examining its physiological effects, clinical outcomes and evolving role alongside urological and oncological care.",{"_type":25,"href":26,"label":27},"action","https:\u002F\u002Fnumaoxygen.com\u002Farticles\u002Fhbot-haemorrhagic-cystitis","Read the clinical review",{"_type":29,"heading":30,"sections":31},"definition","What is Radiation-Induced Cystitis?",[32],"Radiation-induced cystitis is inflammation and bleeding of the bladder lining. In cancer patients it is most commonly associated with pelvic radiotherapy, certain chemotherapy agents, and haematopoietic stem cell transplantation. Symptoms range from mild intermittent bleeding to severe haematuria requiring hospitalisation, transfusion, or intervention to relieve clot retention, and can affect a person's health, daily activities and overall quality of life.",{"_type":34,"disclaimer":35,"heading":36,"primary":37,"supporting":50},"evidence","Patients with significant bleeding, clot retention, infection, anaemia, urinary tract obstruction, severe pain, or concern for recurrent malignancy require prompt specialist assessment and conventional management first. HBOT is an adjunctive treatment within a multidisciplinary pathway, not a replacement for standard care. This is general information, not medical advice — suitability is assessed individually by our clinical team alongside your urology and oncology teams.","HBOT in Radiation-Induced Cystitis: What the Evidence Shows",{"_type":38,"heading":39,"introduction":40,"links":41},"evidenceItem","Improvement that lasts","Radiation-induced cystitis is recognised by the Undersea and Hyperbaric Medical Society (UHMS) as an indication for HBOT.\n\nIn the RICH-ART randomised, controlled phase 2–3 trial, HBOT significantly improved urinary symptoms in patients with chronic radiation cystitis compared with standard care. At 5-year follow-up, these improvements were maintained, with 68.6% of patients classified as responders.",[42,46],{"_key":43,"href":44,"label":45},"3a883a19fade","https:\u002F\u002Fdoi.org\u002F10.1016\u002FS1470-2045(19)30494-2","Oscarsson 2019",{"_key":47,"href":48,"label":49},"a71793bed1ee","https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.eclinm.2025.103214","Oscarsson 2025",[51,60,69],{"_key":52,"_type":38,"heading":53,"introduction":54,"links":55},"3b316455d95e","Restores oxygen and blood supply","HBOT increases oxygen delivery to damaged tissue and promotes angiogenesis, helping improve blood supply in poorly vascularised bladder tissue.",[56],{"_key":57,"href":58,"label":59},"76fe96292d63","https:\u002F\u002Fwww.mdpi.com\u002F2073-4409\u002F10\u002F1\u002F21","Helissey et al., 2020",{"_key":61,"_type":38,"heading":62,"introduction":63,"links":64},"c2510663c0c6","Supports tissue and urothelial repair","Higher tissue oxygen levels support fibroblast activity, collagen formation and epithelial repair, helping chronically injured bladder tissue heal.",[65],{"_key":66,"href":67,"label":68},"49c3c138ebb6","https:\u002F\u002Fwww.ncbi.nlm.nih.gov\u002Fbooks\u002FNBK470594\u002F","Horan & Cooper, 2023",{"_key":70,"_type":38,"heading":71,"introduction":72,"links":73},"cc99c234f6a1","Reduces haematuria and urinary symptoms","A 2024 meta-analysis of 14 studies and 556 patients found symptom improvement in 89.9%, with complete haematuria remission in 55% and partial remission in around 35%.",[74],{"_key":75,"href":76,"label":77},"b51766f66532","https:\u002F\u002Fwww.mdpi.com\u002F2077-0383\u002F13\u002F16\u002F4724","Yang et al., 2024",{"_type":79,"breadcrumbLabel":80,"heading":81,"img":82,"introduction":87,"secondaryAction":88},"hero","Radiation Induced Cystitis","Hyperbaric Oxygen Therapy for Radiation Induced Cystitis",{"_type":9,"alt":83,"height":84,"src":85,"width":86},"Healthcare worker in blue scrubs and gloves holding two urine sample containers with red lids, one darker orange and one lighter yellow, comparing sample colours.",1080,"\u002Fresources\u002Farticles\u002Fhaemorrhagic-cystitis\u002Fcover.webp",1920,"HBOT is an established adjunctive treatment for radiation-induced cystitis. At NUMA, HBOT is individually assessed, medically prescribed and supervised throughout, based on your clinical needs.",{"_type":25,"href":89,"label":90},"\u002Farticles\u002Fhbot-haemorrhagic-cystitis","Explore the evidence","hyperbaric-oxygen-therapy-for-radiation-induced-cystitis",{"_type":93,"description":94,"title":95},"meta","Consultant-led Hyperbaric Oxygen Therapy for radiation-induced cystitis in London. Explore the evidence, treatment pathway and specialist care at NUMA.","Hyperbaric Oxygen Therapy for Radiation Induced Cystitis - NUMA",{"_type":97,"disclaimer":98,"heading":99,"introduction":100,"items":101},"pathways","Every treatment plan is personalised. The number, frequency and timing of HBOT sessions vary according to individual clinical circumstances and may change as treatment progresses.","HBOT Treatment Pathway","Every HBOT programme begins with an individual medical assessment. Treatment is prescribed according to the cause of bladder injury, clinical presentation and treatment goals, with the protocol tailored to each patient.\n\n",[102],{"_key":103,"_type":104,"description":105,"sessions":106,"title":107},"65b0a175ee6f","pathwaysItem","usually delivered five days per week, with each session lasting approximately 90–120 minutes."," 30–40 sessions","Typical treatment course",{"_type":109,"category":110,"heading":111,"introduction":112,"reviews":113},"patientExperiences","Oncology","Patient experiences","Don't just take our word for it — hear directly from patients who have completed treatment with us.",[114,122,127],{"_key":115,"_type":116,"rating":117,"reviewerName":118,"sections":119,"url":121},"b0c5dd20d6b5","review",5,"Nana Murakami",[120],"I have been receiving hyperbaric oxygen therapy at NUMA for about a year now to help alleviate the side effects of chemotherapy. Before coming here, I researched many places in London that offer this type of treatment, and NUMA stood out as the only facility providing true medical-grade care. Their approach is extremely professional. Dr. Nur and her team kept me fully informed every step of the way, which made me feel safe and secure throughout my treatment. The facility is exceptionally clean and calm, and the staff are incredibly friendly and supportive. I highly recommend NUMA to anyone seeking high-quality hyperbaric oxygen therapy.","https:\u002F\u002Fmaps.app.goo.gl\u002FLZ4Khk8JfkifmTcK8",{"_key":123,"_type":116,"rating":117,"reviewerName":124,"sections":125,"url":121},"55eb82d1787b","Tom Vinten",[126],"Truly exceptional in every single way! Dr Nur and her team are incredibly professional and extremely knowledgeable. Every time I visit Numa I feel that I am being treated very much as an individual. The whole experience is underpinned by a tangible attention to every detail. From the warm welcome by name from Chloe as you walk in, the immaculate chambers (with tablets in should you wish to use them) and then a refreshing glass of water or tea as your blood pressure and oxygen levels are taken as you leave the chamber. First class service that is making a genuinely positive impact on my health as an oncology patient. I would not hesitate to recommend Numa!",{"_key":128,"_type":116,"rating":117,"reviewerName":129,"sections":130,"url":132},"607a2930a6b7","benchahda majda",[131],"I had the best experience of HBOT at NUMA. Recently I've been diagnosed with Hodgkin's lymphoma, and my nutritionist suggested to do couple of sessions of HBOT in order to manage my symptoms and and to improve the quality of life in my journey with HL. Dr Nur, is just as pure as her name means( light ) ☺️. She is very qualified. And she really did her best, to help me with her knowledge about my sickness and made me discover new ways that could help me heal quickly. The rest of the team, Chloe, Asli and Sonay are very friendly, caring and attentive stuff which made me feel very safe. I did 20 sessions of 60 min of HBOT. I would definitely recommend it with closed eyes, and I will go back for more sessions soon. All best","https:\u002F\u002Fmaps.app.goo.gl\u002F3q68mRaThx9MHPhr5",{"_type":134,"heading":135,"items":136},"relatedReading","Related reading on Radiation-Induced Cystitis?",[137,144,153],{"_key":138,"_type":139,"description":140,"href":89,"img":141,"title":142,"type":143},"9e1c32aaadbe","relatedReadingItem","Explore the clinical evidence for HBOT in radiation-, chemotherapy- and transplant-related bladder injury, including treatment protocols, outcomes, evidence quality and its role alongside standard medical care.",{"_type":9,"alt":83,"height":84,"src":85,"width":86},"Hyperbaric oxygen therapy and radiation-induced cystitis","article",{"_key":145,"_type":139,"description":146,"href":147,"img":148,"title":151,"type":152},"be9cf2541431","Learn what happens during your consultation, how treatment suitability is assessed and what to expect from care delivered under medical oversight at NUMA.","\u002Farticles\u002Fwhat-to-expect-during-your-visit-to-numa",{"_type":9,"alt":149,"height":84,"src":150,"width":86},"NUMA treatment room with three monoplace hyperbaric chambers and patient seating","\u002Fresources\u002Farticles\u002Fwhat-to-expect\u002Fcover.webp","What to Expect During Your Visit to NUMA","guide",{"_key":154,"_type":139,"description":155,"href":156,"img":157,"title":162,"type":143},"0742fb91052f","Understand the safety risks of non-medical hyperbaric treatment and why patient assessment, clinical-grade equipment and specialist medical supervision are essential for safe HBOT.","\u002Farticles\u002Ffrom-clinical-care-to-the-high-street-the-misuse-of-hyperbaric-oxygen-therapy",{"_type":9,"alt":158,"height":159,"src":160,"width":161},"Patient using a smartphone and laptop while wearing an oxygen mask inside a hyperbaric chamber",1024,"resources\u002Farticles\u002Fhigh-street-hbot-misuse\u002Fcover.jpeg",1536,"From clinical care to the high street: the misuse of hyperbaric oxygen therapy",1787329280046]