Intractable bladder tamponade due to left internal pudendal and obturator arterial bleeding induced by erection: a superselective arteriography followed by transcatheter arterial embolization.
Bladder tamponade is an uncommon clinical symptom among men suffering during sexual intercourse. The authors report on a 46-year-old man for whom this symptom appeared 4-5 years prior to hospitalization. Angiography confirmed the presence of left pudendal and obturator arterial bleeding, and embolotherapy of the internal pudendal and obturator arteries was performed. There was no mortality, or limb loss or sexual potency loss at follow-up.
Tsui
K H
KH
Department of Urology, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan, Republic of China. khtsui@yahoo.com
Chang
P L
PL
Huang
S T
ST
Hsieh
M L
ML
Lee
S H
SH
Wang
L J
LJ
D000792:Angiography; D001158:Arteries; D004108:Dilatation, Pathologic / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D004621:Embolization, Therapeutic / Q000379:methods*; D006417:Hematuria / Q000209:etiology / Q000473:pathology; D006470:Hemorrhage / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D010413:Penis / Q000098:blood supply*; D016896:Treatment Outcome; D001747:Urinary Bladder Fistula / Q000209:etiology / Q000473:pathology* / Q000601:surgery