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International Urology and Nephrology
Published in: International Urology and Nephrology 4/2007

01-12-2007 | Original Paper

Endoscopic therapy of a massive rectal bleeding after prostate biopsy

Authors: Kay-P. Braun, Matthias May, Christian Helke, Bernd Hoschke, Helmut Ernst

Published in: International Urology and Nephrology | Issue 4/2007

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Abstract

We report on the case of a 65-year-old man with an indication for a transrectal multibiopsy of the prostate based on a PSA value of 4.5 ng/ml. A massive haemoglobin effective rectal bleeding occurred post-intervention, which due to haemodynamic instability required the administration of erythrocyte concentrates. Both manual compression and rectal tamponade failed to stop the bleeding, and immediate haemostasis was achieved through an endoscopic injection of adrenaline. We present this case in detail and additionally describe current data on the complications of the ultrasound-guided transrectal biopsy of the prostate and the options for treating the fulminant rectal bleeding that is a consequence of this procedure.
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Metadata
Title
Endoscopic therapy of a massive rectal bleeding after prostate biopsy
Authors
Kay-P. Braun
Matthias May
Christian Helke
Bernd Hoschke
Helmut Ernst
Publication date
01-12-2007
Publisher
Springer Netherlands
Published in
International Urology and Nephrology / Issue 4/2007
Print ISSN: 0301-1623
Electronic ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-007-9175-0

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