title: Holmium Laser Enucleation of the Prostate and Iatrogenic Arteriovenous Fistula Treated by Superselective Arterial Embolization.
abstract: Iatrogenic pelvic pseudoaneurysm with concomitant arteriovenous fistula has been described as a rare and challenging complication, which may occur during transurethral resection of the prostate. We provide the first report of this complication after holmium laser enucleation of the prostate for the treatment of benign prostatic hyperplasia. The attempt to control the bleeding by conversion to open surgery and placement of haemostatic stitches into the prostatic fossa failed. Angiography with superselective arterial embolization proved to be a modern, quick, safe, and efficient treatment of this uncommon complication.
authors.affiliation: Department of Experimental Medicine and Surgery, UOC of Urology, University of Rome Tor Vergata, Policlinico Casilino, Via Casilina 1049, 00169 Rome, Italy.
authors.forename: Anastasios D
authors.identifier: 0000-0002-7230-579X
authors.initials: AD
authors.lastname: Asimakopoulos
authors.affiliation: Department of Urology, Prostatazentrum Nordwest, Möllenweg 22, 48599 Gronau, Germany.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Dutto
authors.affiliation: Department of Radiology, Policlinico Casilino, Via Casilina 1049, 00169 Rome, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Preziosi
authors.affiliation: Department of Experimental Medicine and Surgery, UOC of Urology, University of Rome Tor Vergata, Policlinico Casilino, Via Casilina 1049, 00169 Rome, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Spera
authors.affiliation: Department of Urology, Policlinico Casilino, Via Casilina 1049, 00169 Rome, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Micali
authors.affiliation: Department of Urology, Policlinico Casilino, Via Casilina 1049, 00169 Rome, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: De Carolis
authors.affiliation: Department of Experimental Medicine and Surgery, UOC of Urology, University of Rome Tor Vergata, Policlinico Casilino, Via Casilina 1049, 00169 Rome, Italy.
authors.forename: Beniamino
authors.initials: B
authors.lastname: Iorio