Two cases of pelvic hematoma after prostatic urethral lift surgery

Autor: Yosuke Fujishima, Akira Furuta, Tatsuya Kawamura, Arisa Machida, Taro Igarashi, Shigekatsu Maekawa, Renpei Kato, Mitsugu Kanehira, Takahiro Kimura, Wataru Obara
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: IJU Case Reports, Vol 7, Iss 1, Pp 26-29 (2024)
Druh dokumentu: article
ISSN: 2577-171X
DOI: 10.1002/iju5.12659
Popis: Introduction There are few reports of pelvic hematoma after prostatic urethral lift. Here, we report two cases of pelvic hematoma in Japan. Case presentation The first case was a 71‐year‐old man with benign prostatic hyperplasia who underwent prostatic urethral lift. Although the procedure was uneventful, he experienced lower abdominal pain the day after the operation. CT revealed a hematoma in the right pelvis; however, it was manageable with conservative treatment. The second case was a 68‐year‐old man. The procedure was uneventful; however, 6 days after the operation, a subcutaneous hematoma appeared in the lower abdomen. CT revealed a hematoma in the left pelvis. We then performed pelvic hematoma removal surgery. Conclusions Pelvic hematomas after PUL may requires attention, particularly in men with the narrow pelvises. Appropriate compression of the prostate and a high lithotomy position procedure could effectively avoid the occurrence of pelvic hematomas.
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