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Urethral Arterial Bleeding from an Iatrogenic Pseudoaneurysm due to Catheterization

Hideo Yuki, Miki Fuse, Akinori Masuda, Hironori Betsunoh, Hideyuki Abe, Masahiro Yashi, Yoshitatsu Fukabori, Tomonori Yamanishi and Takao Kamai

A 41-year-old man underwent surgery for treatment of an intervertebral disk hernia and received urethral catheterization at another hospital. After insertion of the catheter, intermittent urethral bleeding occurred. He was brought to our hospital by ambulance because of massive urethral bleeding and urethral pain on the day after the operation. Laboratory tests showed a decrease of hemoglobin, and contrast computed tomography revealed intense enhancement of part of the urethra that resembled an aneurysm. Urethroscopy showed a pseudoaneurysm in the bulbar urethra and the arterial bleeding was stopped by transurethral coagulation.