TY - JOUR
T1 - Treatment of a patient with post-TURP hemorrhage using bilateral SAPE
AU - Tan, Lincoln
AU - Venkatesh, Sudhakar K.
AU - Consigliere, David
AU - Heng, Chin Tiong
PY - 2009/12
Y1 - 2009/12
N2 - 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.Investigations. CT angiography and pelvic arteriography.Diagnosis. Post-TURP arterial hemorrhage refractory to conventional methods of hemostasis, complicated by TURP syndrome and disseminated intravascular coagulopathy. Management. Bilateral selective arterial prostatic embolization, after endoscopic hemostasis and continuous catheter balloon traction failed to stop the hemorrhage.
AB - 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.Investigations. CT angiography and pelvic arteriography.Diagnosis. Post-TURP arterial hemorrhage refractory to conventional methods of hemostasis, complicated by TURP syndrome and disseminated intravascular coagulopathy. Management. Bilateral selective arterial prostatic embolization, after endoscopic hemostasis and continuous catheter balloon traction failed to stop the hemorrhage.
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U2 - 10.1038/nrurol.2009.215
DO - 10.1038/nrurol.2009.215
M3 - Article
C2 - 19956198
AN - SCOPUS:75149163633
SN - 1759-4812
VL - 6
SP - 680
EP - 685
JO - Nature Reviews Urology
JF - Nature Reviews Urology
IS - 12
ER -