Mishal Alarifi, Abdullah Mousa Al Zahrani, Abdulaziz Mohammad Al-Sharydah
{"title":"Prostate Artery Embolization with Histoacryl-Lipiodol Mixture: a Successful Case of Refractory Hematuria Management in a 98-Year-Old Patient.","authors":"Mishal Alarifi, Abdullah Mousa Al Zahrani, Abdulaziz Mohammad Al-Sharydah","doi":"10.5455/medarh.2025.79.331-334","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Secondary hematuria due to benign prostatic hyperplasia (BPH) is especially challenging to treat in elderly, high-risk patients. It can be very difficult to manage with conventional therapies.</p><p><strong>Objective: </strong>This case report illustrates the successful use of PAE to treat refractory hematuria in a 98-year-old male with advanced BPH. <b>Case presentation:</b> In this report, we present a 98-year-old male who had recurrent hematuria and was successfully treated with prostate artery embolization (PAE). The patient underwent bilateral prostate artery. PAE, which led to resolution of the hematuria without complication.</p><p><strong>Conclusion: </strong>This case demonstrates the effectiveness of PAE as a minimally invasive surgical technique in attempting to resolve complex clinical problems.</p>","PeriodicalId":94135,"journal":{"name":"Medical archives (Sarajevo, Bosnia and Herzegovina)","volume":"79 4","pages":"331-334"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503617/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical archives (Sarajevo, Bosnia and Herzegovina)","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5455/medarh.2025.79.331-334","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Secondary hematuria due to benign prostatic hyperplasia (BPH) is especially challenging to treat in elderly, high-risk patients. It can be very difficult to manage with conventional therapies.
Objective: This case report illustrates the successful use of PAE to treat refractory hematuria in a 98-year-old male with advanced BPH. Case presentation: In this report, we present a 98-year-old male who had recurrent hematuria and was successfully treated with prostate artery embolization (PAE). The patient underwent bilateral prostate artery. PAE, which led to resolution of the hematuria without complication.
Conclusion: This case demonstrates the effectiveness of PAE as a minimally invasive surgical technique in attempting to resolve complex clinical problems.