Successful embolization of internal iliac artery in a case o
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Massive and intractable bladder hemorrhage can be potentially life threatening and its management is a complex clinical problem for the Urologists and Oncologists; causing significant morbidity to the patients and escalating the cost of management. Advanced pelvic urological malignancy, radiation cystitis, cyclophosphamide-induced cystitis and severe infection are the most common causes of intractable haematuria. Management options include bladder irrigation and supportive transfusion, intravesical instillation, endourological intervention, and surgical intervention by means of ligation of internal iliac arteries or salvage cystectomy which has poor success and high morbidity rates. Transarterial embolization offers another minimally invasive, safe and effective option. We report a patient with severe hemorrhagic cystitis who failed to respond to conventional supportive measures including alum irrigation and was successfully managed with super selective embolization of left superior vesical artery

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