Severe hemorrhage post robotic-assisted Aquablation: A case report

Hemorrhage is a potential complication of Aquablation for benign prostatic hyperplasia (BPH). Severe bleeding may require intervention beyond conventional hemostatic measures.We report an 84-year-old male who developed massive hematuria post-Aquablation, leading to hemodynamic instability. Initial c...

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Main Authors: Dolev Perez, Avital Zeldin, Adam Farkas, Boris Chertin
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025001305
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author Dolev Perez
Avital Zeldin
Adam Farkas
Boris Chertin
author_facet Dolev Perez
Avital Zeldin
Adam Farkas
Boris Chertin
author_sort Dolev Perez
collection DOAJ
description Hemorrhage is a potential complication of Aquablation for benign prostatic hyperplasia (BPH). Severe bleeding may require intervention beyond conventional hemostatic measures.We report an 84-year-old male who developed massive hematuria post-Aquablation, leading to hemodynamic instability. Initial conservative measures failed, and angiography identified arterial extravasation. Due to recurrent bleeding, superselective transarterial embolization was performed twice, achieving hemostasis. The patient stabilized and was discharged on postoperative day 12 with improved urinary function.Transarterial embolization is an effective treatment for severe hemorrhage following Aquablation when standard hemostatic techniques fail.
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series Urology Case Reports
spelling doaj-art-3037e6edbf884ebf9820d3b49869bd0a2025-08-20T02:48:07ZengElsevierUrology Case Reports2214-44202025-07-016110305910.1016/j.eucr.2025.103059Severe hemorrhage post robotic-assisted Aquablation: A case reportDolev Perez0Avital Zeldin1Adam Farkas2Boris Chertin3From the Department of Urology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, Israel; Corresponding author. The Department of Urology, Shaare Zedek Medical Center, P.o.B 3235, Jerusalem, 91031, Israel.From the Department of Invasive Radiology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, IsraelFrom the Department of Invasive Radiology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, IsraelFrom the Department of Urology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, IsraelHemorrhage is a potential complication of Aquablation for benign prostatic hyperplasia (BPH). Severe bleeding may require intervention beyond conventional hemostatic measures.We report an 84-year-old male who developed massive hematuria post-Aquablation, leading to hemodynamic instability. Initial conservative measures failed, and angiography identified arterial extravasation. Due to recurrent bleeding, superselective transarterial embolization was performed twice, achieving hemostasis. The patient stabilized and was discharged on postoperative day 12 with improved urinary function.Transarterial embolization is an effective treatment for severe hemorrhage following Aquablation when standard hemostatic techniques fail.http://www.sciencedirect.com/science/article/pii/S2214442025001305
spellingShingle Dolev Perez
Avital Zeldin
Adam Farkas
Boris Chertin
Severe hemorrhage post robotic-assisted Aquablation: A case report
Urology Case Reports
title Severe hemorrhage post robotic-assisted Aquablation: A case report
title_full Severe hemorrhage post robotic-assisted Aquablation: A case report
title_fullStr Severe hemorrhage post robotic-assisted Aquablation: A case report
title_full_unstemmed Severe hemorrhage post robotic-assisted Aquablation: A case report
title_short Severe hemorrhage post robotic-assisted Aquablation: A case report
title_sort severe hemorrhage post robotic assisted aquablation a case report
url http://www.sciencedirect.com/science/article/pii/S2214442025001305
work_keys_str_mv AT dolevperez severehemorrhagepostroboticassistedaquablationacasereport
AT avitalzeldin severehemorrhagepostroboticassistedaquablationacasereport
AT adamfarkas severehemorrhagepostroboticassistedaquablationacasereport
AT borischertin severehemorrhagepostroboticassistedaquablationacasereport