Case Report: Severe Bleeding after Laparoscopic Radical Prostatectomy: Successful Management with Transarterial Embolization

Abstract

We present the first report of postoperative bleeding after laparoscopic radical prostatectomy (LRP) managed by transarterial embolization (TAE). A 54-year-old man underwent an uneventful LRP for clinical stage T_1c prostate cancer. His blood pressure, however, was 83 over 55 mm Hg, and the hematocrit dropped to 20.4% from a baseline of 26.9% 5 hours postoperatively. Active bleeding from a capsular artery was diagnosed by CT angiography and managed by superselective embolization.