A case report of severe hematuria after transrectal prostate biopsy treated by repeat interventional embolization
10.3760/cma.j.cn112330-20220325-00137
- VernacularTitle:两次介入栓塞治疗经直肠前列腺活检后严重血尿1例报告
- Author:
Jingwen REN
1
;
Ye TIAN
;
Guangheng LUO
Author Information
1. 贵州省人民医院泌尿外科，贵州 550002
- Keywords:
Prostate;
Biopsy;
Hematuresis;
Interventional embolization;
Hemorrhagic shock
- From:
Chinese Journal of Urology
2023;44(5):390-391
- CountryChina
- Language:Chinese
-
Abstract:
Hemorrhage after prostate biopsy is common, but hemorrhagic shock is rare. We reported a case of sudden severe hematuria on the third day after prostate biopsy, which was considered to be bleeding at the puncture site. Conservative treatment was ineffective, and interventional embolization was performed. Bilateral bulbar urethral arteries were embolized, and the bleeding was stopped successfully. On the 4th day after embolization, the patient developed hypovolemic shock. Angiography showed bilateral prostatic artery bleeding, and the bleeding site and its superior branch arteries were embolized immediately. At 4 months after embolization, no bleeding related events occurred.
