Abstract
Prostatic hematuria is one of the common emergencies in male urinary diseases [1, 2]. Refractory hematuria of prostatic origin (RHPO) is defined as repeated active bleeding after conservative methods, such as drug treatment, bladder irrigation, or cystoscopy. Although the overall incidence rate of RHPO is low, it causes severe problems for the quality of life, even life threatening. Additionally, this cohort of patients are mainly elderly people who usually combined with multiple comorbidities and with poor general appearance, radical surgery is not always feasible. Transcatheter arterial embolization has been used for the treatment of urinary bleeding for more than 40 years. Also, it has been successfully used to treat prostatic hematuria and achieved good clinical results [1–10].
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References
Pereira K, Halpern JA, McClure TD, et al. Role of prostate artery embolization in the management of refractory haematuria of prostatic origin. BJU Int. 2016;118(3):359–65. https://doi.org/10.1111/bju.13524.
Tapping CR, Macdonald A, Hadi M, et al. Prostatic Artery Embolization (PAE) for Benign Prostatic Hyperplasia (BPH) with haematuria in the absence of an upper urinary tract pathology. Cardiovasc Interv Radiol. 2018;41(8):1160–4. https://doi.org/10.1007/s00270-018-1941-0.
Kably I, Pereira K, Chong W, et al. Prostate Artery Embolization (PAE) in the management of refractory hematuria of prostatic origin secondary to iatrogenic urological trauma: a safe and effective technique. Urology. 2016;88:218–21. https://doi.org/10.1016/j.urology.2015.10.025.
Rastinehad AR, Ost MC, Vander Brink BA, et al. Persistent prostatic hematuria. Nat Clin Pract Urol. 2008;5(3):159–65. https://doi.org/10.1038/ncpuro1044.
Bokhorst LP, Lepistö I, Kakehi Y, et al. Complications after prostate biopsies in men on active surveillance and its effects on receiving further biopsies in the Prostate cancer Research International: Active Surveillance (PRIAS) study. BJU Int. 2016;118(3):366–71. https://doi.org/10.1111/bju.13410.
Quinlan MR, Bolton D, Casey RG. The management of rectal bleeding following transrectal prostate biopsy: a review of the current literature. Can Urol Assoc J. 2018;12(3):E146–53.
Jeong CW, Park YH, Ku JH, et al. Minimally invasive management of postoperative bleeding after radical prostatectomy: transarterial embolization. J Endourol. 2010;24(9):1529–33. https://doi.org/10.1089/end.2009.0686.
Hald T, Mygind T. Control of life-threatening vesical hemorrhage by unilateral hypogastric artery muscle embolization. J Urol. 1974;112(1):60–3.
Appleton DS, Sibley GN, Doyle PT. Internal iliac artery embolisation for the control of severe bladder and prostate haemorrhage. Br J Urol. 1988;61(1):45–7.
Foley SJ, Bailey DM. Microvessel density in prostatic hyperplasia. BJU Int. 2000;85(1):70–3.
Chen JW, Shin JH, Tsao TF, et al. Prostatic arterial embolization for control of hematuria in patients with advanced prostate cancer. J Vasc Interv Radiol. 2017;28(2):295–301. https://doi.org/10.1016/j.jvir.2016.10.010.
Prasad V, Sacks BA, Kraus S, et al. Embolotherapy for lower urinary tract hemorrhage. J Vasc Interv Radiol. 2009;20(7):965–70. https://doi.org/10.1016/j.jvir.2009.04.048.
Korkmaz M, Şanal B, Aras B, et al. The short- and long-term effectiveness of transcatheter arterial embolization in patients with intractable hematuria. Diagn Interv Imaging. 2016;97(2):197–201. https://doi.org/10.1016/j.diii.2015.06.020.
Delgal A, Cercueil JP, Koutlidis N, et al. Outcome of transcatheter arterial embolization for bladder and prostate hemorrhage. J Urol. 2010;183(5):1947–53. https://doi.org/10.1016/j.juro.2010.01.003.
Loffroy R, Pottecher P, Cherblanc V, et al. Current role of transcatheter arterial embolization for bladder and prostate hemorrhage. Diagn Interv Imaging. 2014;95(11):1027–34. https://doi.org/10.1016/j.diii.2014.03.008.
Bonne L, Gillardin P, De Wever L, Vanhoutte E, Joniau S, Oyen R, Maleux G. Endovascular management of severe arterial haemorrhage after radical prostatectomy: a case series. Cardiovasc Interv Radiol. 2017;40(11):1698–705.
Beckley I, Patterson B, Hamaday M, et al. Case report: delayed hemorrhage from an accessory internal pudendal artery pseudoaneurysm after robotic radical prostatectomy: successful management with ct angiography and embolization. J Endourol. 2007;21(8):923–5. https://doi.org/10.1089/end.2006.0419.
Lopes RI, Mitre AI, Rocha FT, et al. Case report: late recurrent hematuria following laparoscopic radical prostatectomy may predict internal pudendal artery pseudoaneurysm and arteriovenous fistula. J Endourol. 2009;23(2):297–9. https://doi.org/10.1089/end.2008.0494.
Celtikci P, Ergun O, Tatar IG, et al. Superselective arterial embolization of pseudoaneurysm and arteriovenous fistula caused by transurethral resection of the prostate. Pol J Radiol. 2014;79:352–5. https://doi.org/10.12659/PJR.890900.
Asimakopoulos AD, Dutto L, Preziosi P, et al. Holmium laser enucleation of the prostate and iatrogenic arteriovenous fistula treated by superselective arterial embolization. Case Rep Urol. 2016;2016:4918081. https://doi.org/10.1155/2016/4918081.
Rezaeimehr B, Modanloo M, Davoodi M, et al. Angioemboliziation of internal pudendal artery for treatment of long lasting gross hematuria after transurethral resection of the prostate. Urol J. 2019;16(5):517–8.
Golzarian J, Antunes AA, Bilhim T, et al. Prostatic artery embolization to treat lower urinary tract symptoms related to benign prostatic hyperplasia and bleeding in patients with prostate cancer: proceedings from a multidisciplinary research consensus panel. J Vasc Interv Radiol. 2014;25(5):665–74.
Nabi G, Sheikh N, Greene D, et al. Therapeutic transcatheter arterial embolization in the management of intractable haemorrhage from pelvic urological malignancies: preliminary experience and long-term follow-up. BJU Int. 2003;92(3):245–7.
Liguori G, Amodeo A, Mucelli FP, et al. Intractable haematuria:long-term results after selective embolization of the internal iliac arteries. BJU Int. 2010;106(4):500–53.
Ayyagari R, Powell T, Staib L, et al. Prostatic artery embolization in nonindex benign prostatic hyperplasia patients: single-center outcomes for urinary retention and gross prostatic hematuria. Urology. 2019;136:212–7.
Kisilevzky N, Laudanna NC, Cividanes A. Ischemia of the glans penis following prostatic artery embolization. J Vasc Interv Radiol. 2016;27(11):1745–7.
Picel AC, Hsieh TC, Shapiro RM, Vezeridis AM, Isaacson AJ. Prostatic artery embolization for benign prostatic hyperplasia: patient evaluation, anatomy, and technique for successful treatment. Radiographics. 2019;39(5):1526–48.
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Duan, F. et al. (2021). PAE in the Treatment of Hematuria of Prostatic Origin. In: Wang, M. (eds) Prostatic Arterial Embolization. Springer, Singapore. https://doi.org/10.1007/978-981-15-6836-7_9
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DOI: https://doi.org/10.1007/978-981-15-6836-7_9
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