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Cases  Transarterial embolization of bilateral internal iliac arteries ( TAE ) is a useful hemostatic method for the management of pelvic fracture patients, but its effects on urinary functions remain unclear. In this study, we evaluated the impact of  TAE  on lower urinary tract symptoms ( LUTS ) in 10 pelvic fracture patients.    Outcomes  Lower urinary tract symptoms before and after hospitalization were evaluated by International Prostate Symptoms Score, Overactive Bladder Symptoms Score, and Quality Of Life score. All scores showed significant worsening. The changes did not correlate with sex, age, injury severity score, or durations of unstable hemodynamics or urethral catheterization. Changes of International Prostate Symptoms Score and Quality Of Life score showed significant positive correlations with intervals between the evaluations.    Conclusion  Pelvic fracture patients treated with  TAE  showed significant worsening of  LUTS . Risk for exacerbation of  LUTS  should be taken into consideration when deciding to use  TAE .

acute medicine and surgery

A case series of pelvic fracture patients who developed lower urinary tract symptoms after transarterial embolization of bilateral internal iliac arteries