Reducing the Risk of Non-target Prostatic Artery Embolization

1 min
Published on March 24, 2018

Courtesy: Andre Uflacker, MD, and Ziv J. Haskal, MD, Department of Radiology and Medical Imaging, Division of Vascular and Interventional Radiology, University of Virginia, Charlottesville, VA, USA

The patient was a 72-year-old male with lower urinary tract symptoms caused by benign prostatic hyperplasia. Symptoms consisted of straining, hesitancy, and weak stream, with a frequency of almost every hour during the day, and 8 episodes of nocturia. Prostatomegaly was present with a total volume of 53 mL. Prior to treatment, the patient’s International Prostate Symptom Score (IPSS) was 22, with a peak urine flow rate of 4 mL/s. One year after treatment, his IPSS was 4, and peak flow rate was 6 mL/s. Nocturia improved to 3 episodes per night, down from 8. Straining, hesitancy, and weak stream were all improved to the patient’s satisfaction.

Download the full clinical case here

 syngo DynaCT with power injection after advancing the microcatheter into the left prostatic artery distal to the vesical branches at 0.4 mL/s for 9 mL.