Bhatta Om Prakash, Jani Rutva, Kakadiya Akhil Dhanjibhai, Fatima Iram, Mehta Shubh, Sam Alen
Department of Anaesthesiology, Tribhuvan University Institute of Medicine, Kathmandu, NPL.
Department of Internal Medicine, C. U. Shah Medical College and Hospital, Gujarat, IND.
Cureus. 2025 Jan 9;17(1):e77182. doi: 10.7759/cureus.77182. eCollection 2025 Jan.
This case report describes the successful use of prostate artery embolization (PAE) in a 75-year-old male with benign prostatic hyperplasia (BPH) and severe lower urinary tract symptoms (LUTS) that did not respond to medical therapy. Despite initial treatments, the patient had persistent symptoms and significant prostate enlargement. PAE was chosen for its minimally invasive nature and advantages over traditional surgery. After the procedure, the patient experienced significant improvements, including reduced prostate volume, decreased post-void residual volume, and enhanced urinary flow. Follow-up showed a marked reduction in symptoms. This case highlights PAE as an effective alternative for patients with BPH who do not respond to medical management or are not suitable for conventional surgery. Further research is needed to evaluate long-term outcomes compared to established treatments.
本病例报告描述了前列腺动脉栓塞术(PAE)在一名75岁男性良性前列腺增生(BPH)患者中的成功应用,该患者有严重的下尿路症状(LUTS),对药物治疗无反应。尽管进行了初始治疗,患者仍有持续症状且前列腺明显增大。选择PAE是因其微创性质以及相对于传统手术的优势。术后,患者有显著改善,包括前列腺体积减小、排尿后残余尿量减少以及尿流增强。随访显示症状明显减轻。本病例突出了PAE作为对药物治疗无反应或不适合传统手术的BPH患者的一种有效替代方法。与既定治疗方法相比,需要进一步研究以评估长期疗效。