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Updated: Jul 9, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Confronting urethrorrhagia after Otis urethrotomy: a case report
Uttam Kumar Mete1, Rohit Sanjay Deshpande2
1Department of Urology, PGIMER, Chandigarh, 12, India.
Background:
Otis urethrotomy can sometimes lead to troublesome bleeding after seemingly uneventful procedures. This case report highlights one such case which went unnoticed initially; the bleeding was erroneously ascribed to the prostate, thereby falsely indicting the "decoy" prostate.
Case Presentation:
A 78-year-old Asian gentleman was referred to our hospital with complaint of intractable bleeding after undergoing laser enucleation of prostate at another institute, wherein he further underwent unsuccessful bilateral angioembolization of pudendal arteries. On endoscopy (for hemostasis), we found a spurting vessel in the navicular fossa, which was effectively controlled.
Conclusions:
This case report highlights the importance of performing prompt endoscopy in case of uncontrolled bleeding after prostate endoscopic surgery.
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