Authors
Skryabin E.S., Hanaliev B.V., Batrashov V.A., Marchak D.I.
Pirogov National Medical and Surgical Center, Moscow
Abstract
The article presents a clinical observation of a patient with large benign prostatic hyperplasia, complicated with the presence of chronic urinary retention and detrusor atony. These changes in the lower urinary tract led to the development of acute urinary retention – an emergency condition requiring immediate drainage of the bladder. After additional examination methods, the patient underwent endovascular embolization of prostatic arteries. Subsequently, the second stage of treatment was transurethral resection of the prostate gland.
Keywords: prostatic hyperplasia, endovascular embolization of prostatic arteries, cystostomy, transurethral resection of the prostate.
References
1. Bryn ML, Kevin TM, William AR, Granville LL The rising worldwide impact of benign prostatic hyperplasia 2021; 127(6): 722-728. doi: 10.1111/bju.15286.
2. Kaplan S, Kaufman RP, Mueller T, et al. Retreatment rates and postprocedural complications are higher than expected after BPH surgeries: a US healthcare claims and utilization study. Prostate Cancer Prostatic Dis. 2024; 27: 485-491. doi: 10.1038/ s41391-023-00741-8.
3. Arnold MJ, Gaillardetz A, Ohiokpehai J. Benign Prostatic Hyperplasia: Rapid Evidence Review. Am Fam Physician. 2023; 107(6): 613-622.
4. Smetana GW, Smith CC, Singla A, Libman H. How Would You Manage This Patient With Benign Prostatic Hyperplasia? : Grand Rounds Discussion From Beth Israel Deaconess Medical Center. Ann Intern Med. 2023; 176(4): 545-555. doi: 10.7326/M23-0113.
5. Expert Panel on Urological Imaging; Alexander LF, Oto A, Allen BC, et al. ACR Appropriateness Criteria® Lower Urinary Tract Symptoms-Suspicion of Benign Prostatic Hyperplasia. J Am Coll Radiol. 2019; 16(11S): S378-S383. doi: 10.1016/j.jacr.2019.05.031.
6. Haile ES, Sotimehin AE, Gill BC. Medical management of benign prostatic hyperplasia. Cleve Clin J Med. 2024; 91(3): 163-170. doi: 10.3949/ccjm.91a.23027.
7. Ini’ C, Vasile T, Foti PV, et al. Prostate Artery Embolization as Minimally Invasive Treatment for Benign Prostatic Hyperplasia: An Updated Systematic Review. J Clin Med. 2024; 13(9): 2530. doi: 10.3390/jcm13092530.
8. Naidu SG, Narayanan H, Saini G, et al. Prostate Artery Embolization-Review of Indications, Patient Selection, Techniques and Results. J Clin Med. 2021; 10(21): 5139. doi: 10.3390/ jcm10215139.
9. Bilhim T, Bagla S, Sapoval M, et al. Prostatic Arterial Embolization versus Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia. Radiology. 2015; 276(1): 310-1. doi: 10.1148/radiol.2015141853.