Endoscopic Management of a Trauma-Induced Urethral Pseudoaneurysm.

Background: Urethrorrhagia is a rare urologic event with urethral pseudoaneurysm a potential cause. All previous reports of urethral pseudoaneurysm have been managed with angioembolization. Case Report: A 25-year-old man experienced delayed presentation of urethrorrhagia secondary to urethral pseudoaneurysm formation after significant pelvic trauma. Urethral pseudoaneurysm was definitively managed with endoscopic transurethral external compression. Endoscopic thrombosis of pseudoaneurysm was confirmed by postprocedure angiography. Conclusion: Endoscopic transurethral management of a urethral pseudoaneurysm is an alternative form of treatment for urethral pseudoaneurysm, with potentially fewer downstream effects on voiding and erectile function.