Treatment of a patient with post-TURP hemorrhage using bilateral SAPE.
BACKGROUND
A 74-year-old man developed severe, life-threatening bleeding refractory to endoscopic fulguration from a prostatic capsular perforation while undergoing transurethral resection of prostate (TURP) for complicated benign prostatic hyperplasia. At the time of the procedure the patient had several comorbidities, including hypertension and associated nephropathy, and erectile dysfunction.


METHODS
CT angiography and pelvic arteriography.


METHODS
Post-TURP arterial hemorrhage refractory to conventional methods of hemostasis, complicated by TURP syndrome and disseminated intravascular coagulopathy.


RESULTS
Bilateral selective arterial prostatic embolization, after endoscopic hemostasis and continuous catheter balloon traction failed to stop the hemorrhage.
Tan
Lincoln
L
Department of Urology, National University Health System, 5 Lower Kent Ridge Road, Singapore 119074, Singapore. fencer_77@yahoo.com
Venkatesh
Sudhakar K
SK
Consigliere
David
D
Heng
Chin Tiong
CT
D000368:Aged; D004621:Embolization, Therapeutic / Q000379:methods; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D020728:Transurethral Resection of Prostate / Q000009:adverse effects*