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Treatment of a patient with post-TURP hemorrhage using bilateral SAPE.
MedLine Citation:
PMID:  19956198     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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.
Authors:
Lincoln Tan; Sudhakar K Venkatesh; David Consigliere; Chin Tiong Heng
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nature reviews. Urology     Volume:  6     ISSN:  1759-4820     ISO Abbreviation:  Nat Rev Urol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101500082     Medline TA:  Nat Rev Urol     Country:  England    
Other Details:
Languages:  eng     Pagination:  680-5     Citation Subset:  IM    
Affiliation:
Department of Urology, National University Health System, 5 Lower Kent Ridge Road, Singapore 119074, Singapore. fencer_77@yahoo.com
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