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Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Refractory post visual internal urethrotomy bleeding managed by angioembolization.

Jayesh V Dhabalia¹, Girish G Nelivigi, Mahendra Singh Punia

¹Department of Urology, K.E.M Hospital, Mumbai, India.

The Indian Journal of Radiology & Imaging

|March 31, 2010

Summary

This summary is machine-generated.

Post visual internal urethrotomy bleeding was successfully treated using angioembolization when standard methods failed. This case report highlights embolization of the bulbourethral artery as a viable option for persistent urethral bleeding.

Keywords:

Angioembolization bleeding stricture urethra visual internal urethrotomy

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Area of Science:

Urology
Interventional Radiology

Background:

Post-surgical bleeding is a common complication following procedures like visual internal urethrotomy (VIU).
Standard treatments for post-VIU bleeding include local compression, which is typically effective.

Observation:

A 55-year-old male presented with persistent urethral bleeding around a Foley catheter three days after VIU.
Conventional hemostatic methods were unsuccessful in controlling the bleeding.

Findings:

Angioembolization, specifically embolizing the bulbourethral artery with polyvinyl alcohol (PVA) particles, was performed.
This interventional procedure successfully controlled the persistent post-VIU bleeding.

Implications:

Angioembolization represents a novel and effective treatment for refractory post-VIU bleeding.
This case suggests that angioembolization should be considered when conservative measures fail to manage urethral bleeding after VIU.