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Related Experiment Video

Updated: Sep 27, 2025

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

479

Retroperitoneal hematoma post percutaneous sacral nerve evaluation: A case report.

Nader A Aldossary1, Magdy Hassouna1

  • 1Division of Urology University Health Network, University of Toronto, Canada.

Urology Case Reports
|April 11, 2022
PubMed
Summary

Retroperitoneal hematoma is a rare complication following percutaneous sacral nerve evaluation (PNE) for voiding dysfunction. Conservative management is typically effective for this uncommon adverse event.

Keywords:
AngioembolizationAnticoagulationPNEPNE, Percutaneous Nerve EvaluationPercutaneous nerve evaluationRetroperitoneal hematomaRivaroxabanSNMSNM, Sacral NeuromodulationSacral neuromodulation

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Area of Science:

  • Urology
  • Neurology

Background:

  • Sacral neuromodulation is a standard treatment for diverse voiding dysfunctions.
  • The patient presented with benign prostatic hyperplasia post transurethral resection of the prostate and overactive bladder, also on anticoagulants for atrial fibrillation.

Observation:

  • A 71-year-old male underwent percutaneous sacral nerve evaluation (PNE) without immediate complications.
  • Despite initial uneventful evaluation, the patient experienced no improvement in voiding dysfunction.
  • Ten days post-procedure, he developed abdominal and genital skin bruising.

Findings:

  • CT scan revealed a presacral retroperitoneal hematoma.
  • The patient experienced a drop in hemoglobin levels.
  • Conservative management led to stabilization of hemoglobin and discharge.

Implications:

  • Retroperitoneal hematoma is an infrequent but serious complication of PNE.
  • Conservative management is the recommended approach for stable patients.
  • Angioembolization is reserved for hemodynamically unstable cases.