Intraprostatic Injection of Tranexamic Acid to Control Refractory Bleeding while Maintaining Therapeutic Anticoagulation

We present a patient with refractory gross hematuria with required therapeutic anticoagulation who failed multiple other measures to control prostatic bleeding. This patient's hematuria abated with endoscopic localized injection of tranexamic acid into the prostate. The effects were durable with no bleeding recurrence reported while maintaining therapeutic anticoagulation.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research