Late Arteriovenous Fistula after transurethral resection of the prostate: case report

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Published: Dec 19, 2023
DOI: https://doi.org/10.52600/2763-583X.bjcr.2024.4.2.42-46
Keywords:
Transurethral Prostatic Resection, Arteriovenous fistula, Embolization

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Marina Bertolini Matheus
Pontifícia Universidade Católica de Campinas
https://orcid.org/0009-0007-8450-4968
Arthur Degani
Resident of the Department of Urology at Faculdade de Ciências Médicas, Universidade de Campinas
https://orcid.org/0000-0002-4163-8321
Bruno Domenico
Resident of the Department of Urology at Faculdade de Ciências Médicas, Universidade de Campinas
https://orcid.org/0009-0008-8210-9232
Lucas Marcelo Dias Freire
Interventional Radiologist at the Medical Center of Campinas
Ubirajara Ferreira
Full Professor of the Department of Surgery at Faculdade de Ciências Médicas, Universidade de Campinas
Wagner Eduardo Matheus
Full Professor of the Department of Surgery at Faculdade de Ciências Médicas, Universidade de Campinas
https://orcid.org/0000-0003-0811-2616

Abstract

This study describes a case of symptomatic arteriovenous fistula after Transurethral Resection of the Prostate diagnosed by urethrocystoscopy and confirmed by imaging tests. The patient presented lower urinary tract symptoms associated with hematuria twenty years after being submitted to a TURP. Arterial and venous tomography angiography of the pelvis visualized a hypervascularized lesion involving the membranous urethra and aneurysm of the right external iliac artery. The patient underwent embolization of bilateral prostatic arteries with good post-embolization recovery and complete remission of urinary symptoms. Arteriovenous fistula after transurethral resection of the prostate is a rare pathology that must be considered in the differential diagnosis of persistent hematuria and infravesical obstruction without significant prostatic enlargement. In cases like this, embolization has become a new therapeutic option with excellent obliteration rates and minimal morbidity.

Article Details

How to Cite
Matheus, M. B., Degani, A., Domenico, B., Freire, L. M. D., Ferreira, U., & Matheus, W. E. (2023). Late Arteriovenous Fistula after transurethral resection of the prostate: case report. Brazilian Journal of Case Reports, 4(2), 42–46. https://doi.org/10.52600/2763-583X.bjcr.2024.4.2.42-46
Issue
Vol. 4 No. 2 (2024): April/June - 2024
Section
Clinical Case Reports
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Author Biographies

Marina Bertolini Matheus, Pontifícia Universidade Católica de Campinas

Medicine Student at Pontifícia Universidade Católica de Campinas, Campinas, São Paulo, Brazil.

Arthur Degani, Resident of the Department of Urology at Faculdade de Ciências Médicas, Universidade de Campinas

Resident of the Department of Urology at Faculdade de Ciências Médicas, Universidade de Campinas, Campinas, São Paulo, Brazil.

Bruno Domenico, Resident of the Department of Urology at Faculdade de Ciências Médicas, Universidade de Campinas

Resident of the Department of Urology at Faculdade de Ciências Médicas, Universidade de Campinas, Campinas, São Paulo, Brazil.

Lucas Marcelo Dias Freire, Interventional Radiologist at the Medical Center of Campinas

Interventional Radiologist at the Medical Center of Campinas, Campinas, São Paulo, Brazil.

Ubirajara Ferreira, Full Professor of the Department of Surgery at Faculdade de Ciências Médicas, Universidade de Campinas

Full Professor of the Department of Surgery at Faculdade de Ciências Médicas, Universidade de Campinas, Campinas, São Paulo, Brazil.

Wagner Eduardo Matheus, Full Professor of the Department of Surgery at Faculdade de Ciências Médicas, Universidade de Campinas

Full Professor of the Department of Surgery at Faculdade de Ciências Médicas, Universidade de Campinas, Campinas, São Paulo, Brazil.

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