Management of Delayed-onset postoperative Hemorrhage after a
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Urethral reconstruction is the gold standard for treatment of anterior urethral stricture disease. For short strictures in the bulbar urethra, excision with primary anastomosis (EPA) is generally the preferred method given its high success rate and low complication rate when compared to other endoscopic or open reconstructive techniques. Complications with EPA are rare but can include infection, erectile dysfunction, wound breakdown, and recurrence of the urethral stricture. Perioperative bleeding requiring hospitalization and/or reintervention is a presumed risk but is unreported. Postoperative urethral hemorrhage can be extremely challenging to manage as it generally involves bleeding from the transected bulbar arteries.The purpose of this report is to discuss the presentation and management of three patients from three different institutions in which postoperative urethral hemorrhage after EPA led to the need for rehospitalization...

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