AI Article Synopsis
- Two cases of pelvic hematoma following prostatic urethral lift (PUL) were reported in Japan, highlighting a rare complication of this procedure.
- The first case involved a 71-year-old man who experienced lower abdominal pain the day after an uneventful surgery, with a CT scan showing a manageable hematoma.
- The second case was a 68-year-old man who developed a subcutaneous hematoma six days post-operation, requiring surgical removal of the pelvic hematoma.
- The report emphasizes the importance of careful surgical techniques, especially in patients with narrow pelvises, to prevent such complications.
Article Abstract
Introduction: There are few reports of pelvic hematoma after prostatic urethral lift. Here, we report two cases of pelvic hematoma in Japan.
Case Presentation: The first case was a 71-year-old man with benign prostatic hyperplasia who underwent prostatic urethral lift. Although the procedure was uneventful, he experienced lower abdominal pain the day after the operation. CT revealed a hematoma in the right pelvis; however, it was manageable with conservative treatment. The second case was a 68-year-old man. The procedure was uneventful; however, 6 days after the operation, a subcutaneous hematoma appeared in the lower abdomen. CT revealed a hematoma in the left pelvis. We then performed pelvic hematoma removal surgery.
Conclusions: Pelvic hematomas after PUL may requires attention, particularly in men with the narrow pelvises. Appropriate compression of the prostate and a high lithotomy position procedure could effectively avoid the occurrence of pelvic hematomas.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758907 | PMC |
| http://dx.doi.org/10.1002/iju5.12659 | DOI Listing |
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