Open AccessA case series of pelvic fracture patients who developed lower urinary tract symptoms after transarterial embolization of bilateral internal iliac arteries
Author(s) -
Sagawa Koji,
Sawano Makoto
Publication year - 2017
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.286
Subject(s) - medicine , pelvic fracture , international prostate symptom score , lower urinary tract symptoms , exacerbation , urinary system , embolization , urology , quality of life (healthcare) , surgery , prostate , pelvis , nursing , cancer
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 .