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Updated: Mar 22, 2026
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Published on: January 7, 2019
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Pseudoaneurysm secondary to transvesical prostatectomy
Lucio Dell'Atti1, Roberto Galeotti2
1Department of Urology, University Hospital "St. Anna", Ferrara, Italy.
Summary
Internal pudendal artery pseudoaneurysms are rare complications of prostate surgery. This case report details the successful transarterial coil embolization of an isolated pseudoaneurysm after transvesical prostatic adenomectomy.
Area of Science:
- Urology
- Vascular Surgery
- Interventional Radiology
Background:
- Pseudoaneurysms of the internal pudendal artery are uncommon vascular complications.
- They can arise after prostatic surgery or pelvic trauma.
- Diagnosis and management can be challenging, often leading to significant postoperative bleeding.
Observation:
- This report presents the first documented case of an isolated pseudoaneurysm.
- The pseudoaneurysm was secondary to transvesical prostatic adenomectomy.
- The patient's condition was successfully treated with transarterial coil embolization.
Findings:
- Transarterial coil embolization offers a viable treatment option for internal pudendal artery pseudoaneurysms.
- Early diagnosis and intervention are crucial for managing this rare complication.
- A multidisciplinary approach is essential for optimal patient outcomes.
Implications:
- This case expands the understanding of pseudoaneurysm formation after prostatic surgery.
- It highlights the efficacy of endovascular techniques in managing complex vascular injuries.
- Further research may elucidate optimal diagnostic and management strategies for these rare events.
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