Evidence map›Paper›PMID 41037155›Full record

ArticleCVIR endovascular2025

Posttraumatic urethral hemorrhage associated with an arteriospongious fistula and managed with catheter-directed embolization: a report of 2 cases.

Stijn De Bondt, Steven Joniau, Maarten Albersen, Geert Maleux

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Article in CVIR endovascular, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Stijn De BondtDepartment of Radiology, University Hospitals KU Leuven, Louvain, Belgium.
Steven JoniauDepartment of Urology, University Hospitals KU Leuven, Louvain, Belgium.
Maarten AlbersenDepartment of Urology, University Hospitals KU Leuven, Louvain, Belgium.
Geert MaleuxDepartment of Radiology, University Hospitals KU Leuven, Louvain, Belgium. geert.maleux@uzleuven.be.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrethral bleeding can be related to iatrogenic and non-iatrogenic trauma; selective internal iliac angiography may identify contrast extravasation with or without a pseudoaneurysm at the level of the distal internal pudendal or bulbourethral artery. Here, we describe another, yet unreported vascular lesion of the bulbourethral artery related to urethral injury. CASE PRESENTATION: Two patients with a iatrogenic and non-iatrogenic urethral bleeding respectively are presented. Conservative management, including Foley catheter placement and endoscopic management were unsuccessful. Selective internal pudendal angiography revealed an arteriospongious fistula without clear contrast extravasation into the urethral lumen; super-selective embolization with microcoils and non-adhesive liquid embolics was safely performed and successfully stopped the bleeding. The postinterventional course was uneventful and both patients recovered without sequelae.

conclusionsTraumatic urethral bleeding might be related to an arteriospongious fistula which can be successfully managed with super-selective coil and liquid embolic embolization.

Indexed as

EmbolizationTraumaUrethral hemorrhage

Identifiers

PMID41037155
PMCPMC12491119

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.