Moreland Kale, Yankelevich Gabrielle R, Womble Paul
Department of Urology, Kansas City University College of Osteopathic Medicine, Kansas City, USA.
Department of Urology, Medical University of South Carolina, Charleston, USA.
Cureus. 2024 Feb 20;16(2):e54575. doi: 10.7759/cureus.54575. eCollection 2024 Feb.
Simple prostatectomy (SP) can be utilized for patients with large prostates with lower urinary tract symptoms. Prostate artery embolization (PAE) does not have robust clinical evidence to support its use in treating urinary symptoms; however, it is an effective treatment for refractory hematuria from a prostatic source. There have been limited papers regarding preoperative PAE prior to SP. However, there are no papers regarding the feasibility of delayed SP after PAE. We present, to our knowledge, the first paper demonstrating a successful robot-assisted SP years after a PAE in a patient with a 380g prostate with recurrent refractory gross hematuria.
单纯前列腺切除术（SP）可用于患有下尿路症状的大前列腺患者。前列腺动脉栓塞术（PAE）缺乏有力的临床证据支持其用于治疗尿路症状；然而，它是治疗前列腺源性难治性血尿的有效方法。关于SP术前PAE的文献有限。然而，尚无关于PAE后延迟SP可行性的文献。据我们所知，我们发表了第一篇论文，展示了在一名患有380g前列腺且复发性难治性肉眼血尿的患者中，PAE多年后成功进行机器人辅助SP的案例。
