Confronting urethrorrhagia after Otis urethrotomy: a case report.

J Med Case Rep

Department of Urology, PGIMER, Chandigarh, 12, India.

Published: December 2023

Background: Otis urethrotomy can sometimes lead to troublesome bleeding after seemingly uneventful procedures. This case report highlights one such case which went unnoticed initially; the bleeding was erroneously ascribed to the prostate, thereby falsely indicting the "decoy" prostate.

Case Presentation: A 78-year-old Asian gentleman was referred to our hospital with complaint of intractable bleeding after undergoing laser enucleation of prostate at another institute, wherein he further underwent unsuccessful bilateral angioembolization of pudendal arteries. On endoscopy (for hemostasis), we found a spurting vessel in the navicular fossa, which was effectively controlled.

Conclusions: This case report highlights the importance of performing prompt endoscopy in case of uncontrolled bleeding after prostate endoscopic surgery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10702059PMC
http://dx.doi.org/10.1186/s13256-023-04261-wDOI Listing

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