Prostatic Artery Embolization (PAE)

Ayyagari, Raj; Laage-Gaupp, Fabian; Barbon, Dennis; Irons, Paul

doi:10.24296/jomi/236

Cited by 1 publication

(2 citation statements)

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“…When compared with more invasive surgical procedures for BPH, such as transurethral resection of the prostate (TURP), PAE has a lower risk of urinary incontinence and postoperative sexual side effects [ 10 ]. For patients that pursue PAE, favorable outcomes have been reported for 75-80% of men [ 11 ]. Although this is a relatively new procedure, PAE provides long-term outcomes with results lasting as long as three to four years [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…For patients that pursue PAE, favorable outcomes have been reported for 75-80% of men [ 11 ]. Although this is a relatively new procedure, PAE provides long-term outcomes with results lasting as long as three to four years [ 11 ]. However, its widespread adoption for the treatment of BPH is still not widely accepted, as researchers and clinicians are still evaluating its long-term efficacy, safety, selection criteria, and embolization technique.…”

Section: Discussionmentioning

confidence: 99%

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Inguinal Bladder Hernia Indirectly Treated With Prostate Artery Embolization

Garfinkel,

Tanwar,

Larson

2023

Cureus

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An inguinal bladder hernia (IBH) is an abnormal protrusion of the bladder into the inguinal canal accompanied by a peritoneum sheath that creates the hernia sac. Clinical presentations vary greatly from lower urinary tract symptoms (LUTS) and reduction in scrotal size after voiding to being entirely asymptomatic. Since inguinal bladder hernias are uncommon and often accompanied by varied and nonspecific symptoms, it is challenging to diagnose and rarely included in differentials. Currently, computerized tomography (CT) imaging with contrast or voiding cystourethrography is recommended for diagnosis. There is no consensus on the best treatment for inguinal bladder hernias, with options ranging from laparoscopic repair to catheterization. In this study, we report the case of inguinal bladder hernia in an 86-year-old male presenting with symptoms of recurrent hematuria and two failed voiding trials after a Foley catheter placement from prostatomegaly resulting in bladder diverticula, and IBH. He was treated with prostate artery embolization (PAE) to address LUTS related to benign prostatic hyperplasia (BPH). The resultant decreased prostatic volume resolved his symptoms of IBH, hematuria, and urinary retention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%