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      Refractory post visual internal urethrotomy bleeding managed by angioembolization

      case-report

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          Abstract

          Post visual internal urethrotomy (VIU) bleeding is usually treated successfully with local compression. Angioembolization for post VIU bleeding has not been previously reported to the best of our knowledge. This is a case report of a 55-year-old man who was referred with persistent per urethral bleeding around a Foley catheter, three days following VIU. When standard methods of treatment were unsuccessful, the bleeding was controlled by embolizing the bulbourethral artery with polyvinyl alcohol (PVA) particles.

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          Internal urethrotomy in the management of anterior urethral strictures: long-term followup.

          V Pansadoro, P Emiliozzi (1996)
          We evaluated the long-term results of internal urethrotomy for anterior urethral strictures. Between 1975 and 1990, 224 patients underwent internal urethrotomy for anterior urethral strictures. Median followup was 98 months (range 60 to 216). The recurrence rate after 1 urethrotomy was 68% overall, and 58% for bulbar, 84% for penile and 89% for penile bulbar urethral strictures. Repeated urethrotomies did not improve the success rate. Prognostic characteristics of bulbar urethral strictures associated with good results included single or primary strictures, length shorter than 10 mm. and caliber wider than 15F. Preoperative infection and etiology of the strictures did not correlate with results. Multiple urethrotomies achieve only temporary improvement and can be compared to repeated dilations. Alternative treatments should be considered for penile strictures and after failure of initial urethrotomy.
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            [Treatment of urethral stricture: transurethral slit in view using sharp section].

            J Sachse (1974)
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              The impact of optical urethrotomy on the management of urethral strictures.

              C. Chilton, R C Tiptaft, Sohrab Shah … (1983)
              The introduction of optical urethrotomy by Sachse has reduced the need for urethroplasty: 261 urethroplasties were performed between 1964 and 1983, of which 87 were performed in one stage on patients who would today have undergone urethrotomy as the procedure of first choice. The results in this group are compared with those in 151 patients treated between 1978 and 1983 by 265 internal optical urethrotomies. At 5 years 50% of those treated by urethrotomy needed no further treatment, compared with 83% of those treated by urethroplasty. Nevertheless, the ease and safety of urethrotomy makes it the procedure of first choice, and urethoroplasty should be reserved either for cases where urethrotomy is unsuitable or where it has been tried on several occasions without success.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Indian J Radiol Imaging
                Journal ID (publisher-id): IJRI
                Title: The Indian Journal of Radiology & Imaging
                Publisher: Medknow Publications (India )
                ISSN (Print): 0971-3026
                ISSN (Electronic): 1998-3808
                Publication date (Print): February 2010
                Volume: 20
                Issue: 1
                Pages: 37-38
                Affiliations
                Department of Urology, K.E.M Hospital, Mumbai, India
                Author notes
                Correspondence: Dr. Vikash Kumar, 101/A, Panchsheel-1, Raheja Township, Malad (E), Mumbai, India. E-mail: vikash_ims_bhu@ 123456yahoo.com
                Article
                Publisher ID: IJRI-20-37
                DOI: 10.4103/0971-3026.59750
                PMC ID: 2844745
                PubMed ID: 20351990
                SO-VID: 2b6b3fdb-c289-475c-b61f-7e366db7feeb
                Copyright © © Indian Journal of Radiology and Imaging
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Subject: Interventional Radiology

                ScienceOpen disciplines: Radiology & Imaging
                Keywords: angioembolization,bleeding,visual internal urethrotomy,stricture urethra
                Data availability:
                ScienceOpen disciplines: Radiology & Imaging
                Keywords: angioembolization, bleeding, visual internal urethrotomy, stricture urethra

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