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Why Would The Continue To Be Blood In Urine After Blocking The Vein Passing Through An Abnormal Mass In The Bladder?

Posted on Wed, 24 Jan 2024

Question: Hi
My brother have hameturia in his bladder doctors endoscopy and blocked the abnormal vein which was going to the small mass which is inside the bladder, Mass was bengin which was done through biopsy, its been 2 days now after blocking the vein but my brother can still see the blood in his urine

i have just attached all the current reports which was done last month. Now he can see more blood then before

Answered by Dr. Dr. P. T. Patil (4 hours later)

Brief Answer:
Possibility of bolus being dislodged ( slipped off) has to be ruled out

Detailed Answer:
Hello
Thanks for query .

Based on the facts that and relevant reports that you have posted your brother has a Vascular Malformation in badder and abnormal communication was being blocked by embolization of a feeding vessels 2 days back However he still he has gross hematuria

There are two possibilities that can cause recurrence of hematuria
1) Either he has other abnormal communicating channel which has opened up after first procedure or
2) The Gel foam bolus which was placed to block the channel has slipped off .

Wait for few days and if hematuria continues he may need to go for selective angiography and repeat embolization if required .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (43 minutes later)

Hello Dr XXXXXXX

Thank you very much for taking some time again, He will go and see his doctor on Monday Dr XXXXXXX , there is another report which was given to him i will upload that report as well, Why they havent seen Dr XXXXXXX if there is another abnormal channel ? So many test was dont Mri scan CT scan ,

Answered by Dr. Dr. P. T. Patil (33 minutes later)

Brief Answer:
It is only Selective Angiography that can detect AV malformation

Detailed Answer:
Hello
Thanks for follow up .
MRI or CT scan can not detect AV malformation .It is only selective angiography that detects AV Malformation .

AV Malformation is just like a mesh of multiple vessels and it is not uncommon that another channel can open after closing one which is clearly visible during procedure,It sometimes becomes mandatory to repeat the procedure of embolization if repeat angiography reveals development of new communicating (Feeder vessel) channel .

Do not worry the things usually get resolved after repeat embolization which is inevitable

Thanks and Regards
Dr.Patil

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (13 minutes later)

Thank you very much Dr XXXXXXX I will update you on Monday then. And please dont close the discussion, I prefer you to give me medical advice on this matter.

Answered by Dr. Dr. P. T. Patil (43 minutes later)

Brief Answer:
O.K You can write to me whenever you need my help

Detailed Answer:
Hello
Thanks for follow up
Do not hesitate to ask for any help from me .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (14 hours later)

Hello Dr XXXXXXX

I wanted ask you some thing, I just spoke to my brother and he is saying that he having pain on his right leg where they start the surgery and he can see yellow and black mix spot on his leg, Any idea Dr XXXXXXX about this ?

Answered by Dr. Dr. P. T. Patil (7 hours later)

Brief Answer:
Could be small hematoma at the site of puncture

Detailed Answer:
Hello
Thanks for follow up .
Black spots at the site of surgery are most likely small hematoma in subcutaneous plane at the site where a puncture is made to pass the catheter in Femoral Artery .

There is nothing to be worried It will get absorbed within a week ,
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (4 minutes later)

Thank you Dr XXXXXXX

I will update you tomorrow after the checkup

Answered by Dr. Dr. P. T. Patil (11 hours later)

Brief Answer:
O.K Bye

Detailed Answer:
Hello
Thanks for writing again ,Do write after you have consultation with your brother .

Thanks and Regards.
Dr Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (29 minutes later)

Hello Dr. XXXXXXX

My brother just came from the hospital and doctors are saying its fine everything is okay blood will come for some time wait for at least 2 weeks. I didn't understand why they want to wait for 2 weeks,

Answered by Dr. Dr. P. T. Patil (15 minutes later)

Brief Answer:
One can expect bleeding to stop spontaneously

Detailed Answer:
Hello
Thanks for writing again ,
One can expect block the channel completely within two weeks and to stop bleeding spontaneously .
Thanks and Regards
Dr Patil,

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar