Transradial Prostatic Artery Embolization as a Salvage Procedure in a Patient With Severe Deformities and Refractory Hematuria of Prostatic Origin

TL;DR

A 79-year-old man with severe, treatment-resistant prostate-related bleeding was successfully treated with a minimally invasive procedure using a less common approach.

Contribution

Demonstrates the safety and effectiveness of transradial PAE in a complex patient with physical deformities and multiple health issues.

Findings

The patient experienced complete resolution of hematuria after the procedure.

The transradial approach was successfully used despite the patient's limb deformities.

No complications were observed following the procedure.

Abstract

Benign prostatic hyperplasia is a common condition causing urinary symptoms in older men. It can sometimes lead to hematuria of prostatic origin, due to increased vascularity of the enlarged gland. If this type of hematuria is severe and refractory to conservative measures, it can be life-threatening. Prostatic artery embolization (PAE) serves as a minimally invasive alternative to traditional surgical interventions, particularly in patients with comorbidities and contraindications to surgery. We present a case of a 79-year-old male with refractory hematuria of prostatic origin (RHPO), multiple comorbidities, and significant deformities of the left upper and both lower limbs. The patient was treated with PAE via the right radial artery, a less common approach in interventional radiology. The procedure was successful and led to a complete resolution of hematuria, with no complications. This report highlights the importance of adapting treatment for complex patients and shows that PAE can be safe and effective in such cases.

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