Massive hematuria after transurethral resection of the prostate: management by intra-arterial embolization.
A case of severe hemorrhage after TURP leading to hypovolemic shock and its successful management by superselective unilateral arterial embolization is described. The authors conclude that arterial embolization is a safe and effective procedure for severe prostatic hemorrhage that may be performed in selected cases when conservative means or fulguration of the prostatic fossa have failed to achieve the control of the bleeding. Adequate selection of the patients, correction of any underlying coagulation defects and a proper resection technique are surely the most important issues in preventing any postoperative bleeding.
Barbieri
Antonio
A
Division of Urology, City Hospital of Parma, University of Parma, Italy. abarbieri@ao.pr.it
Simonazzi
Marta
M
Marcato
Carla
C
Larini
Pietro
P
Barbagallo
Maria
M
Frattini
Antonio
A
Cortellini
Pietro
P
D001158:Arteries; D004621:Embolization, Therapeutic / Q000379:methods; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D008297:Male; D020728:Transurethral Resection of Prostate / Q000009:adverse effects*