Benign Prostatic Hyperplasia Treated Entirely by Unilateral Prostate Artery Embolization

Prostate artery embolization (PAE) is a minimally invasive, safe, and effective treatment for benign prostatic hyperplasia. PAE can often be technically challenging due to atherosclerosis and tortuous anatomy, leading to failure of catheterizing one side of prostatic supply, resulting in unilateral...

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Main Authors: Mohamed Shaker, Essam Hashem
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:The Arab Journal of Interventional Radiology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_22_19
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author Mohamed Shaker
Essam Hashem
author_facet Mohamed Shaker
Essam Hashem
author_sort Mohamed Shaker
collection DOAJ
description Prostate artery embolization (PAE) is a minimally invasive, safe, and effective treatment for benign prostatic hyperplasia. PAE can often be technically challenging due to atherosclerosis and tortuous anatomy, leading to failure of catheterizing one side of prostatic supply, resulting in unilateral PAE, which markedly reduces clinical success. Major anastomosis between both prostatic halves can be exploited for embolizing the entire prostate from a unilateral approach when one side cannot be catheterized. If this anastomosis is extensive enough, clinical success is assumed to be equivalent to bilateral PAE. There is a limited number of published cases in this regard; our case report shows how to detect and exploit this anastomosis.
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series The Arab Journal of Interventional Radiology
spelling doaj-art-2d16173ba12f4e2e8b6027fe9ee2048b2025-08-20T02:53:09ZengWolters Kluwer Medknow PublicationsThe Arab Journal of Interventional Radiology2542-70752542-70832020-01-01401404310.4103/AJIR.AJIR_22_19Benign Prostatic Hyperplasia Treated Entirely by Unilateral Prostate Artery EmbolizationMohamed Shaker0Essam Hashem1Department of Radiodiagnosis and Interventional Radiology, Faculty of Medicine, Ain Shams University, CairoDepartment of Radiodiagnosis and Interventional Radiology, Faculty of Medicine, Ain Shams University, CairoProstate artery embolization (PAE) is a minimally invasive, safe, and effective treatment for benign prostatic hyperplasia. PAE can often be technically challenging due to atherosclerosis and tortuous anatomy, leading to failure of catheterizing one side of prostatic supply, resulting in unilateral PAE, which markedly reduces clinical success. Major anastomosis between both prostatic halves can be exploited for embolizing the entire prostate from a unilateral approach when one side cannot be catheterized. If this anastomosis is extensive enough, clinical success is assumed to be equivalent to bilateral PAE. There is a limited number of published cases in this regard; our case report shows how to detect and exploit this anastomosis.http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_22_19benign prostatic hyperplasialower urinary tract symptomsproximal embolization first then embolize distal (perfected)prostateprostate artery embolization
spellingShingle Mohamed Shaker
Essam Hashem
Benign Prostatic Hyperplasia Treated Entirely by Unilateral Prostate Artery Embolization
The Arab Journal of Interventional Radiology
benign prostatic hyperplasia
lower urinary tract symptoms
proximal embolization first then embolize distal (perfected)
prostate
prostate artery embolization
title Benign Prostatic Hyperplasia Treated Entirely by Unilateral Prostate Artery Embolization
title_full Benign Prostatic Hyperplasia Treated Entirely by Unilateral Prostate Artery Embolization
title_fullStr Benign Prostatic Hyperplasia Treated Entirely by Unilateral Prostate Artery Embolization
title_full_unstemmed Benign Prostatic Hyperplasia Treated Entirely by Unilateral Prostate Artery Embolization
title_short Benign Prostatic Hyperplasia Treated Entirely by Unilateral Prostate Artery Embolization
title_sort benign prostatic hyperplasia treated entirely by unilateral prostate artery embolization
topic benign prostatic hyperplasia
lower urinary tract symptoms
proximal embolization first then embolize distal (perfected)
prostate
prostate artery embolization
url http://www.thieme-connect.de/DOI/DOI?10.4103/AJIR.AJIR_22_19
work_keys_str_mv AT mohamedshaker benignprostatichyperplasiatreatedentirelybyunilateralprostatearteryembolization
AT essamhashem benignprostatichyperplasiatreatedentirelybyunilateralprostatearteryembolization