# Successful Robot-Assisted Simple Prostatectomy Years After a Prostate Artery Embolization: A Case Report and Review of the Literature

## TL;DR

This case report shows that robot-assisted prostate surgery can be successfully performed years after a different prostate procedure.

## Contribution

The first documented case of successful delayed robot-assisted prostatectomy after prior prostate artery embolization.

## Key findings

- Robot-assisted simple prostatectomy was successfully performed years after prostate artery embolization.
- The patient had a large prostate (380g) with recurrent severe blood in urine.
- No prior literature describes this specific delayed surgical approach after embolization.

## Abstract

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.