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Bleeding after prostatectomy: endovascular management

Anna Maria Ierardi1, Maria Laura Jannone1, Pietro Maria Brambillasca1

  • 1Diagnostic and Interventional Radiology Department, San Paolo Hospital, University of Milan, Milan, Italy.

Gland Surgery
|June 12, 2019
PubMed

Insights

Interventional radiology effectively manages bleeding after prostatectomy using superselective trans-arterial embolization. This safe and effective treatment shows no major complications or recurrences in a 10-patient study.

Area of Science:

  • Urology
  • Interventional Radiology
  • Vascular Surgery

Background:

  • Post-surgical hemorrhage is a significant complication following prostatectomy.
  • Interventional radiology (IR) offers minimally invasive treatment options.

Purpose of the Study:

  • To evaluate the role and efficacy of interventional radiology in managing post-prostatectomy hemorrhagic complications.

Main Methods:

  • Retrospective study of 10 patients with post-radical prostatectomy hemorrhage treated between April 2015 and January 2018.
  • Superselective trans-arterial embolization was performed by the IR department.
  • Technical and clinical success, along with post-procedural complications, were assessed.

Main Results:

  • 100% technical and clinical success rate was achieved in all 10 patients.
  • No major complications related to the endovascular procedures were observed.
  • Minor complications included mild post-embolization syndrome in 20% of patients; no recurrences were noted during follow-up (8-20 months).

Conclusions:

  • Endovascular management of significant hemorrhage after prostatectomy is a safe and long-term effective treatment.
  • Embolization procedures were not associated with major ischemic events.
Abstract

Keywords:
Transarterial embolizationangiographyinterventional radiology (IR)prostate bleedingsurgical complications

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