<p>Pseudoaneurysm following robot-assisted radical prostatectomy is an infrequent complication. We present a rare case of gross hematuria caused by a pseudoaneurysm. A 76-year-old man was diagnosed with prostatic adenocarcinoma and underwent robot-assisted radical prostatectomy. On postoperative day 9, he presented with gross hematuria and clot retention, accompanied by anemia. Bladder irrigation was performed, resulting in improvement of the hematuria. Contrast-enhanced computed tomography revealed a pseudoaneurysm. As his hematuria improved and his vital signs remained stable, angiography was performed on postoperative day 10. This revealed a pseudoaneurysm arising from the prostatic artery, which was successfully treated with transcatheter arterial embolism. His postoperative course was uneventful, and he was discharged on postoperative day 14. Pseudoaneurysm after robot-assisted prostatectomy is rare but important to consider in patients with delayed hematuria. Early diagnosis and embolization can lead to good outcomes.</p>

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Prostatic artery pseudoaneurysm presenting with hematuria following robot-assisted radical prostatectomy: a case report

  • Sotaro Kayano,
  • Ken Shibata,
  • Eriko Nishi,
  • Yohei Tubouchi,
  • Hideaki Kanazashi,
  • Keiji Sakurai,
  • Tatsuya Shimomura,
  • Kazuki Akieda,
  • Takahiro Kimura

摘要

Pseudoaneurysm following robot-assisted radical prostatectomy is an infrequent complication. We present a rare case of gross hematuria caused by a pseudoaneurysm. A 76-year-old man was diagnosed with prostatic adenocarcinoma and underwent robot-assisted radical prostatectomy. On postoperative day 9, he presented with gross hematuria and clot retention, accompanied by anemia. Bladder irrigation was performed, resulting in improvement of the hematuria. Contrast-enhanced computed tomography revealed a pseudoaneurysm. As his hematuria improved and his vital signs remained stable, angiography was performed on postoperative day 10. This revealed a pseudoaneurysm arising from the prostatic artery, which was successfully treated with transcatheter arterial embolism. His postoperative course was uneventful, and he was discharged on postoperative day 14. Pseudoaneurysm after robot-assisted prostatectomy is rare but important to consider in patients with delayed hematuria. Early diagnosis and embolization can lead to good outcomes.