Angioembolization for massive pelvic hematoma after prostatic urethral lift.

Autor: Ho BSH; Division of Urology, Department of Surgery Queen Mary Hospital Hong Kong., Tsu JH; Division of Urology, Department of Surgery Queen Mary Hospital Hong Kong.
Jazyk: angličtina
Zdroj: IJU case reports [IJU Case Rep] 2023 May 09; Vol. 6 (4), pp. 219-221. Date of Electronic Publication: 2023 May 09 (Print Publication: 2023).
DOI: 10.1002/iju5.12590
Abstrakt: Introduction: Pelvic hematomas are a rare complication of prostatic urethral lift. We would like to report the first case of massive pelvic hematoma after prostatic urethral lift that was successfully managed by selective angioembolization.
Case Presentation: An 83-year-old gentleman with benign prostatic hyperplasia underwent prostatic urethral lift. Although the procedure was uneventful, he developed shock while in the recovery room. Urgent contrast computed tomography scan showed a large heterogenous hematoma at the right pelvis extending to the right retroperitoneum with contrast extravasation noted. Urgent angiogram confirmed extravasation from the right prostatic artery. Angioembolization with coils and 33% N-butyl cyanoacrylate glue was successfully performed.
Conclusion: Prostatic urethral lift can be complicated by the rare massive pelvic hematoma, possibly more common in small prostates. With a prompt contrast computed tomography scan, pelvic hematomas can be managed with angioembolization first and hopefully prevent open exploratory surgery.
Competing Interests: The authors declare no conflict of interest.
(© 2023 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association.)
Databáze: MEDLINE
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