# Prostate Artery Embolization for Benign Prostatic Hyperplasia: A Case Report and Comprehensive Literature Review

## TL;DR

A 75-year-old man with severe prostate enlargement and urinary issues improved after a minimally invasive procedure called prostate artery embolization.

## Contribution

This case report presents PAE as a viable alternative for BPH patients unresponsive to medical therapy or surgery.

## Key findings

- The patient experienced reduced prostate volume and improved urinary flow after PAE.
- Follow-up showed a significant reduction in lower urinary tract symptoms.
- PAE was well-tolerated and effective in this case of treatment-resistant BPH.

## Abstract

This case report describes the successful use of prostate artery embolization (PAE) in a 75-year-old male with benign prostatic hyperplasia (BPH) and severe lower urinary tract symptoms (LUTS) that did not respond to medical therapy. Despite initial treatments, the patient had persistent symptoms and significant prostate enlargement. PAE was chosen for its minimally invasive nature and advantages over traditional surgery. After the procedure, the patient experienced significant improvements, including reduced prostate volume, decreased post-void residual volume, and enhanced urinary flow. Follow-up showed a marked reduction in symptoms. This case highlights PAE as an effective alternative for patients with BPH who do not respond to medical management or are not suitable for conventional surgery. Further research is needed to evaluate long-term outcomes compared to established treatments.