Intractable bladder hemorrhage: therapeutic angiographic embolization of the hypogastric arteries.

Malignant intractable bladder hemorrhage in an elderly, high risk patient was controlled effectively with bilateral hypogastric artery occlusion by angiographic placement of oxycel autologous clot emboli. Therapeutic alternatives for intractable bladder hemorrhage are reviewed briefly with particular emphasis on angiographic arterial occlusion. Appropriate anatomic and physiologic aspects of this therapy are discussed.