Confronting urethrorrhagia after Otis urethrotomy: a case report

Abstract 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...

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Main Authors: Uttam Kumar Mete, Rohit Sanjay Deshpande
Format: Article
Language:English
Published: BMC 2023-12-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-023-04261-w
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author Uttam Kumar Mete
Rohit Sanjay Deshpande
author_facet Uttam Kumar Mete
Rohit Sanjay Deshpande
author_sort Uttam Kumar Mete
collection DOAJ
description Abstract 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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spelling doaj.art-05f12fecc070464f8821df4ca8ef73eb2023-12-10T12:20:10ZengBMCJournal of Medical Case Reports1752-19472023-12-011711410.1186/s13256-023-04261-wConfronting urethrorrhagia after Otis urethrotomy: a case reportUttam Kumar Mete0Rohit Sanjay Deshpande1Department of Urology, PGIMERDepartment of Urology, PGIMERAbstract 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.https://doi.org/10.1186/s13256-023-04261-wOtisUrethrotomyAngioembolizationUrethrorrhagia
spellingShingle Uttam Kumar Mete
Rohit Sanjay Deshpande
Confronting urethrorrhagia after Otis urethrotomy: a case report
Journal of Medical Case Reports
Otis
Urethrotomy
Angioembolization
Urethrorrhagia
title Confronting urethrorrhagia after Otis urethrotomy: a case report
title_full Confronting urethrorrhagia after Otis urethrotomy: a case report
title_fullStr Confronting urethrorrhagia after Otis urethrotomy: a case report
title_full_unstemmed Confronting urethrorrhagia after Otis urethrotomy: a case report
title_short Confronting urethrorrhagia after Otis urethrotomy: a case report
title_sort confronting urethrorrhagia after otis urethrotomy a case report
topic Otis
Urethrotomy
Angioembolization
Urethrorrhagia
url https://doi.org/10.1186/s13256-023-04261-w
work_keys_str_mv AT uttamkumarmete confrontingurethrorrhagiaafterotisurethrotomyacasereport
AT rohitsanjaydeshpande confrontingurethrorrhagiaafterotisurethrotomyacasereport