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2018 ; 5
(1
): 66-68
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A novel method to cease traumatic urethral bleeding
#MMPMID29618193
Akhavizadegan H
Clin Exp Emerg Med
2018[Mar]; 5
(1
): 66-68
PMID29618193
show ga
Urethral bleeding due to trauma is a well-studied and often self-limiting
condition. However, existing evidence regarding effective management of massive
hemorrhage is limited. Intermittent penile compression and continuous perineal
pressure are methods commonly used to control urethral bleeding. Nevertheless,
these methods are not mentioned in the literature as specific treatment for this
condition, and are rather learned by physicians via word of mouth. Sometimes
these methods are ineffective and difficult for the patient to tolerate. This
paper explains a new method implemented on a young man with massive urethral
bleeding due to iatrogenic trauma, which was unresponsive to standard management.
For this patient, the bleeding was controlled by gradually inflating the balloon
of the catheter up to 4 mL. Given its safety and efficiency in controlling
bleeding in this patient, it seems this new technique should be considered in
cases of massive hemorrhage unresponsive to routine treatment.
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