Kably Issam, Bode Alexander
Jackson Memorial Hospital, Department of Vascular and Interventional Radiology (R-109), PO Box 016960, Miami, FL, USA.
University of Miami Leonard M. Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, USA.
Asian J Urol. 2020 Jul;7(3):318-321. doi: 10.1016/j.ajur.2019.06.002. Epub 2019 Jun 22.
Giant prostatic hyperplasia (GPH) is a rare pathology traditionally treated with an open suprapubic prostatectomy. This procedure is risky, and fatal hemorrhagic complications can occur. Often, patients with GPH present with diminished renal function due to obstructive nephropathy, making them unfit for less invasive endovascular therapies using traditional contrast agents. Here we present a case of a patient with intractable hematuria due to GPH, as well as diminished renal function, who was successfully treated using prostatic artery embolization with CO digital subtraction arteriography as a contrast agent.
巨大前列腺增生（GPH）是一种罕见的病理情况，传统上采用耻骨上开放性前列腺切除术进行治疗。该手术风险较大，可能会出现致命的出血并发症。通常，GPH患者由于梗阻性肾病导致肾功能减退，使其不适用于使用传统造影剂的侵入性较小的血管内治疗。在此，我们介绍一例因GPH导致顽固性血尿且肾功能减退的患者，该患者使用CO数字减影血管造影作为造影剂进行前列腺动脉栓塞术，成功得到治疗。
