Prostatic artery embolization for intractable hematuria in patients with unregulated coagulation parameters: three case reports

Submitted: January 24, 2024
Accepted: February 9, 2024
Published: May 9, 2024
Abstract Views: 453
PDF: 175
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Introduction: Benign prostatic hyperplasia is a prevalent disease that could be responsible of severe intractable hematuria requiring invasive surgical management.
Case presentation: We report three high-risk cases presented with intractable hematuria of prostatic origin with high medical co-morbidities treated safely and effectively by prostatic artery embolization with favorable outcomes.
Conclusions: In non-surgical, anticoagulated patients, prostatic artery embolization represents a safe and effective intervention for the treatment of intractable hematuria related to benign prostatic hyperplasia.

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Berry SJ, Coffey DS, Walsh PC, Ewing LL. The development of human benign prostatic hyperplasia with age. J Urol. 1984; 132:474-9. DOI: https://doi.org/10.1016/S0022-5347(17)49698-4
Ramyil VM, Dakum NK, Liman HU, Udeh EI. The management of prostatic haematuria. Niger J Med. 2008; 17:439-42. DOI: https://doi.org/10.4314/njm.v17i4.37429
Elzayat EA, Elhilali MM. Holmium laser enucleation of the prostate (HoLEP): the endourologic alternative to open prostatectomy. Eur Urol. 2006; 49:87-91. DOI: https://doi.org/10.1016/j.eururo.2005.08.015
Elzayat E, Habib E, Elhilali M. Holmium laser enucleation of the prostate in patients on anticoagulant therapy or with bleeding disorders. J Urol. 2006; 175:1428-32. DOI: https://doi.org/10.1016/S0022-5347(05)00645-2
DeMeritt JS, Elmasri FF, Esposito MP, Rosenberg GS. Relief of benign prostatic hyperplasia-related bladder outlet obstruction after transarterial polyvinyl alcohol prostate embolization. J Vasc Interv Radiol. 2000; 11:767-70. DOI: https://doi.org/10.1016/S1051-0443(07)61638-8
Kuang M, Vu A, Athreya S. A Systematic Review of Prostatic Artery Embolization in the Treatment of Symptomatic Benign Prostatic Hyperplasia. Cardiovasc Intervent Radiol. 2017; 40:655-663. DOI: https://doi.org/10.1007/s00270-016-1539-3
Tian W, Zhou C, Leng B, et al. Prostatic Artery Embolization for Control of Gross Hematuria in Patients with Benign Prostatic Hyperplasia: A Single-Center Retrospective Study in 20 Patients. J Vasc Interv Radiol. 2019; 30:661-667. DOI: https://doi.org/10.1016/j.jvir.2019.02.008
Mohan S, Kumar S, Dubey D, et al. Superselective vesical artery embolization in the management of intractable hematuria secondary to hemorrhagic cystitis. World J Urol. 2019; 37:2175-2182. DOI: https://doi.org/10.1007/s00345-018-2604-0
Kearney MC, Bingham J, Bergland R, et al. Clinical predictors in the use of finasteride for control of gross hematuria due to benign prostatic hyperplasia. J Urol. 2002; 167:2489-2491. DOI: https://doi.org/10.1016/S0022-5347(05)65011-2
Hanson RA, Zornow MH, Conlin MJ, Brambrink AM. Laser resection of the prostate: implications for anesthesia. Anesth Analg. 2007; 105:475-9. DOI: https://doi.org/10.1213/01.ane.0000270217.82825.1f
Feng S, Tian Y, Liu W, et al. Prostatic Arterial Embolization Treating Moderate-to-Severe Lower Urinary Tract Symptoms Related to Benign Prostate Hyperplasia: A Meta-Analysis. Cardiovasc Intervent Radiol. 2017; 40:22-32. DOI: https://doi.org/10.1007/s00270-016-1516-x
Abt D, Hechelhammer L, Müllhaupt G, et al. Comparison of prostatic artery embolisation (PAE) versus transurethral resection of the prostate (TURP) for benign prostatic hyperplasia: randomised, open label, non-inferiority trial. BMJ. 2018; 361:k2338. DOI: https://doi.org/10.1136/bmj.k2338
Carnevale FC, Moreira AM, Antunes AA. The "PErFecTED technique": proximal embolization first, then embolize distal for benign prostatic hyperplasia. Cardiovasc Intervent Radiol. 2014; 37:1602-5. DOI: https://doi.org/10.1007/s00270-014-0908-z

How to Cite

Belmonte, M., Khogeer, A., Moussaoui, G., Melo, R., Boucher, L.-M., Villalpando-Cabrera, T., Carrier, S., & Aubé-Peterkin, M. (2024). Prostatic artery embolization for intractable hematuria in patients with unregulated coagulation parameters: three case reports. Archivio Italiano Di Urologia E Andrologia, 96(2). https://doi.org/10.4081/aiua.2024.12306