Two cases of pelvic hematoma after prostatic urethral lift surgery

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 uneve...

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Main Authors: Yosuke Fujishima, Akira Furuta, Tatsuya Kawamura, Arisa Machida, Taro Igarashi, Shigekatsu Maekawa, Renpei Kato, Mitsugu Kanehira, Takahiro Kimura, Wataru Obara
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12659
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author Yosuke Fujishima
Akira Furuta
Tatsuya Kawamura
Arisa Machida
Taro Igarashi
Shigekatsu Maekawa
Renpei Kato
Mitsugu Kanehira
Takahiro Kimura
Wataru Obara
author_facet Yosuke Fujishima
Akira Furuta
Tatsuya Kawamura
Arisa Machida
Taro Igarashi
Shigekatsu Maekawa
Renpei Kato
Mitsugu Kanehira
Takahiro Kimura
Wataru Obara
author_sort Yosuke Fujishima
collection DOAJ
description 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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spelling doaj.art-034cca8b592b48f2b265b220ebe053622024-01-02T09:18:35ZengWileyIJU Case Reports2577-171X2024-01-0171262910.1002/iju5.12659Two cases of pelvic hematoma after prostatic urethral lift surgeryYosuke Fujishima0Akira Furuta1Tatsuya Kawamura2Arisa Machida3Taro Igarashi4Shigekatsu Maekawa5Renpei Kato6Mitsugu Kanehira7Takahiro Kimura8Wataru Obara9Department of Urology Iwate Prefectural Iwai Hospital Ichinoseki JapanDepartment of Urology Jikei University School of Medicine Tokyo JapanDepartment of Urology Iwate Prefectural Iwai Hospital Ichinoseki JapanDepartment of Urology Iwate Prefectural Iwai Hospital Ichinoseki JapanDepartment of Urology Jikei University School of Medicine Tokyo JapanDepartment of Urology Iwate Medical University Morioka JapanDepartment of Urology Iwate Medical University Morioka JapanDepartment of Urology Iwate Medical University Morioka JapanDepartment of Urology Jikei University School of Medicine Tokyo JapanDepartment of Urology Iwate Medical University Morioka JapanIntroduction 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.https://doi.org/10.1002/iju5.12659adverse eventsbenign prostatic hyperplasiapelvic hematomaprostatic urethral liftUrolift
spellingShingle Yosuke Fujishima
Akira Furuta
Tatsuya Kawamura
Arisa Machida
Taro Igarashi
Shigekatsu Maekawa
Renpei Kato
Mitsugu Kanehira
Takahiro Kimura
Wataru Obara
Two cases of pelvic hematoma after prostatic urethral lift surgery
IJU Case Reports
adverse events
benign prostatic hyperplasia
pelvic hematoma
prostatic urethral lift
Urolift
title Two cases of pelvic hematoma after prostatic urethral lift surgery
title_full Two cases of pelvic hematoma after prostatic urethral lift surgery
title_fullStr Two cases of pelvic hematoma after prostatic urethral lift surgery
title_full_unstemmed Two cases of pelvic hematoma after prostatic urethral lift surgery
title_short Two cases of pelvic hematoma after prostatic urethral lift surgery
title_sort two cases of pelvic hematoma after prostatic urethral lift surgery
topic adverse events
benign prostatic hyperplasia
pelvic hematoma
prostatic urethral lift
Urolift
url https://doi.org/10.1002/iju5.12659
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