机器人辅助水刀消融术后严重出血：一例报告

Perez Dolev, Zeldin Avital, Farkas Adam, Chertin Boris

From the Department of Urology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, Israel.

From the Department of Invasive Radiology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University, Jerusalem, Israel.

Urol Case Rep. 2025 May 5;61:103059. doi: 10.1016/j.eucr.2025.103059. eCollection 2025 Jul.

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.

出血是良性前列腺增生（BPH）水刀手术的一种潜在并发症。严重出血可能需要采取常规止血措施以外的干预手段。我们报告了一名84岁男性，他在水刀手术后出现大量血尿，导致血流动力学不稳定。最初的保守措施失败，血管造影发现动脉外渗。由于反复出血，进行了两次超选择性经动脉栓塞，实现了止血。患者病情稳定，术后第12天出院，排尿功能改善。当标准止血技术失败时，经动脉栓塞是治疗水刀手术后严重出血的有效方法。