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.