A pseudoaneurysm of the corpus spongiosum from straddle injury: A rare cause of massive urethral bleeding only during erections

Shin, Yu Seob; You, Jae Hyung; Kim, Myung Ki

doi:10.1016/j.injury.2015.02.027

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Patients with suspected urethral injury should undergo, if possible, a retrograde urethrography [12], remembering that traumatic urethrorrhagia is not always due to a urethral injury [13].…”

Section: Discussionmentioning

confidence: 99%

“…Two singular and unique cases, both successfully treated by TAE employing autologous clots, are represented by a first patient with priapism due to surgical urethrotomy who manifested intermittent urethrorrhagia after every attempt to remove the urinary catheter [17] and a second patient with urethrorrhagia that was clinically evident only in case of penile erection. In the latter, it was necessary to perform a MRI of the penis, to precisely anatomically identify the tunica albuginea, urethra, and its corpus spongiosum, and allow a better definition and visualization of the injury to correctly plan the correct management [13].…”

Section: Discussionmentioning

confidence: 99%

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A singular case of massive urethrorrhagia solved by transarterial embolization

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Coppola

Borzelli

et al. 2020

Egypt J Radiol Nucl Med

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Background: Urethrorrhagia is frequent in pelvic trauma, rarely due to traumatic injuries of internal pudendal artery branches. Case presentation: Our aim is to underline the role of transarterial embolization in selected patients, as in this case in which a young man manifested urethral hemorrhage after high-energy motorcycle crash not associated with injuries of the inferior urinary tract. Multi-detector computed tomography (MDCT) showed pubic symphysis diastasis and perineal hematoma with pseudoaneurysm into the penis bulb. The first approach was conservative with perineal external compression and intravenous injection of tranexamic acid. Afterward, due to the decline of clinical conditions, we decided to perform a selective angiography, confirming the vascular injury of distal branches of both internal pudendal arteries with contrast agent extravasation into urethral bulb; endovascular embolization was performed with detachable micro-coils. The principal results were seen quickly, indeed urethrorrhagia arrested and hemoglobin values normalized. Erectile function was preserved at 6-months follow-up. Conclusions: Endovascular embolization proved to be a minimally invasive therapeutic approach, clinically effective, with a low rate of complications and high probability to preserve erectile function.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A singular case of massive urethrorrhagia solved by transarterial embolization

Pane

Coppola

Borzelli

et al. 2020

Egypt J Radiol Nucl Med

View full text Add to dashboard Cite

show abstract

“…Formation of this pseudoaneurysms in internal pudendal arteries and their branches are described for external trauma as much as traumatic catheterization, 2 , 3 , 4 but urethrorrhagia, also present in some cases, was attributed to urethral trauma and not to pseudoaneurysm, 5 which is only described in one previous case. 6 …”

Section: Discussionmentioning

confidence: 99%