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Bleeding after prostatectomy: Endovascular management

Gland Surgery, ISSN: 2227-8575, Vol: 8, Issue: 2, Page: 108-114
2019
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Article Description

Background: To evaluate role of interventional radiology (IR) in post-surgical haemorrhagic complications of prostatectomy. Methods: A retrospective study was performed. From April 2015 to January 2018, 10 patients referred to IR Department for haemorrhagic complications post radical prostatectomy (RP). All patients (mean age: 68.5 years; range, 58-85 years) were successfully treated with superselective trans-arterial embolization. We evaluated technical and clinical success and post procedural complications. Results: Technical and clinical success was 100% (10/10) and no major complications were identified. No complications related to the endovascular procedures occurred. No recurrences during follow-up (8-20 months) were observed. Among minor complications, only 20% (2/10) developed mild post embolization syndrome. Conclusions: The endovascular management of significant haemorrhage after prostatectomy is safe and long-term effective, with no major ischaemic events associated to embolization.

Bibliographic Details

Ierardi, Anna Maria; Jannone, Maria Laura; Brambillasca, Pietro Maria; Zannoni, Stefania; Damiani, Giovanni; Rossi, Umberto G; Granata, Antonio Maria; Petrillo, Mario; Carrafiello, Gianpaolo

AME Publishing Company

Medicine

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