Superselective internal iliac arterial embolization for severe hemorrhage following radical prostatectomy

Cheng,Sheng; Xu,Liwei; Li,Gonghui; Chen,Yuebing; Hu,Hongjie; Zhang,Zhigen; Ding,Guoqing

doi:10.3892/ol.2012.749

Superselective internal iliac arterial embolization for severe hemorrhage following radical prostatectomy

Authors:
- Sheng Cheng
- Liwei Xu
- Gonghui Li
- Yuebing Chen
- Hongjie Hu
- Zhigen Zhang
- Guoqing Ding
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Affiliations: Department of Urology, Sir Run Run Shaw Hospital, College of Medical Sciences, Zhejiang University, Hangzhou, Zhejiang 310016, P.R. China
Published online on: June 11, 2012 https://doi.org/10.3892/ol.2012.749
Pages: 521-523

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Abstract

Severe hemorrhage following a prostatectomy is a rare and serious complication. A 63-year-old male with severe hemorrhage following radical prostatectomy which led to hypovolemic shock presented at our department and was treated with superselective internal iliac arterial embolization. At 6 months follow‑up, the patient had recovered well, regained excellent urinary continence and the pelvic hematoma was absorbed using ultrasound examination. We concluded that rapid diagnosis by computed tomography angiography and early superselective embolization of internal iliac artery should be considered as the treatment of choice in severe hemorrhage cases following radical prostatectomy.

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