Sönksen S E, Rothfuchs D, Mertineit N, Popp F, Habermann C R
Catholic Marienkrankenhaus Hamburg, Institut for Diagnostic and Interventional Radiology, Germany.
Bundeswehrkrankenhaus Hamburg, Section VIII - Radiology, Germany.
Radiol Case Rep. 2025 Aug 5;20(10):5314-5319. doi: 10.1016/j.radcr.2025.07.007. eCollection 2025 Oct.
Minimally invasive treatments like prostatic artery embolization (PAE) are effective, low-morbidity alternatives for managing large-volume benign prostatic hyperplasia. This case report describes a patient with lower urinary tract symptoms and acute urinary retention treated with bilateral PAE. Though initially successful, complications included glans necrosis, urinary tract infection, prostatitis, and urosepsis, all of which resolved. Histological analysis revealed necrotic prostate tissue, and follow-up MRI showed a central prostate defect. No long-term issues were observed. The report underscores the need for awareness of rare complications, proper technique, and understanding vascular anatomy to ensure PAE safety and effectiveness.
像前列腺动脉栓塞术（PAE）这样的微创治疗方法是治疗大体积良性前列腺增生的有效、低发病率的替代方案。本病例报告描述了一名患有下尿路症状和急性尿潴留的患者接受双侧PAE治疗的情况。虽然最初治疗成功，但并发症包括龟头坏死、尿路感染、前列腺炎和尿脓毒症，所有这些并发症均已痊愈。组织学分析显示前列腺组织坏死，随访MRI显示前列腺中央有缺损。未观察到长期问题。该报告强调需要认识到罕见并发症、掌握正确技术并了解血管解剖结构，以确保PAE的安全性和有效性。
