Embolization in Haemorrhage-associated Transurethral Resection of Prostate: An Advancement of Endovascular TechniqueFirdaus Hayati1, Zainal Adwin Zainal Abidin2, Fairrul Kadir3, Nik Azuan Nik Ismail4, Guan Hee Tan51Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
2Department of General Surgery, Surgical Sciences Cluster, Faculty of Medicine, Universiti Teknologi MARA, Selangor, Malaysia
3Department of Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Sabah, Malaysia
4Interventional Radiology Unit, Department of Radiology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
5Urology Unit, Department of Surgery, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
Benign prostatic hyperplasia (BPH) is common in the elderly. The surgery of choice in those who failed medical treatment is transurethral resection of prostate (TURP). Haematuria post TURP can be distressing and difficult to manage. The physiological changes in the elderly have led to inability to withhold hypovolaemic states especially in inoperable candidate. Using endovascular modalities, this complication can be managed efficiently without endangering patients’ well-being. Herein, we present a case of a successful prostatic artery embolization in a patient with poor surgical fitness, which was complicated with bleeding post TURP. Keywords: Benign prostatic hyperplasia, lower urinary tract symptoms, transurethral resection of prostate, bleeding post TURP, prostatic artery embolization
Firdaus Hayati, Zainal Adwin Zainal Abidin, Fairrul Kadir, Nik Azuan Nik Ismail, Guan Hee Tan. Embolization in Haemorrhage-associated Transurethral Resection of Prostate: An Advancement of Endovascular Technique. Medeniyet Med J. 2017; 32(2): 123-127
Corresponding Author: Firdaus Hayati, Malaysia |
|