Reducing the Risk of Non-target Prostatic Artery Embolization
Courtesy: Andre Uflacker, MD, and Ziv J. Haskal, MD, Department of Radiology and Medical Imaging, Division of Vascular and Interventional Radiology, University of Virginia, Charlottesville, VA, USA | 2018-03-23
syngo DynaCT with power injection after advancing the microcatheter into the left prostatic artery distal to the vesical branches at 0.4 mL/s for 9 mL.
The patient was a 72-year-old male with lower urinary tract symptoms caused by benign prostatic hyperplasia. Symptoms consisted of straining, hesitancy, and weak stream, with a frequency of almost every hour during the day, and 8 episodes of nocturia. Prostatomegaly was present with a total volume of 53 mL. Prior to treatment, the patient’s International Prostate Symptom Score (IPSS) was 22, with a peak urine flow rate of 4 mL/s. One year after treatment, his IPSS was 4, and peak flow rate was 6 mL/s. Nocturia improved to 3 episodes per night, down from 8. Straining, hesitancy, and weak stream were all improved to the patient’s satisfaction.
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