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Angioembolization for massive pelvic hematoma after prostatic urethral lift
Brian Sze Ho Ho1, James Hok-Leung Tsu1
1Division of Urology, Department of Surgery Queen Mary Hospital Hong Kong.
IJU Case Reports
|July 5, 2023
Summary
Massive pelvic hematoma is a rare complication of prostatic urethral lift. This case demonstrates successful management using selective angioembolization, potentially avoiding open surgery.
Area of Science:
- Urology
- Interventional Radiology
Background:
- Prostatic urethral lift is a minimally invasive treatment for benign prostatic hyperplasia.
- Pelvic hematomas are an uncommon but serious complication.
Observation:
- An 83-year-old male developed shock post-prostatic urethral lift.
- CT angiography revealed a large pelvic hematoma with active bleeding from the right prostatic artery.
Findings:
- Selective angioembolization successfully controlled the hemorrhage.
- The procedure utilized coils and N-butyl cyanoacrylate glue.
Implications:
- Angioembolization is an effective first-line treatment for massive pelvic hematomas after prostatic urethral lift.
- This approach may prevent the need for exploratory laparotomy.
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