Role of prostate artery embolization in the management of refractory haematuria of prostatic origin

Keith Pereira, Joshua A. Halpern, Timothy D. McClure, Nicholas A. Lewis, Mohamed Kably, Shivank Bhatia, Jim C. Hu

Research output: Contribution to journalReview article

10 Scopus citations

Abstract

Prostatic haematuria is among the most common genitourinary complaints of emergency room visits, distressing and troublesome to men and a challenging clinical problem to the treating physician. The most common aetiologies of prostatic haematuria include benign prostatic hyperplasia and prostate cancer. Prostatic haematuria usually resolves with conservative and medical methods; failure of these interventions results in refractory haematuria of prostatic origin (RHPO), a potentially life-threatening scenario. Several different treatments have been described, with varying degrees of success. Patients with RHPO are often elderly and unfit for radical surgery. Prostate artery embolization (PAE) has evolved as a safe and effective technique in the management of RHPO. Use of a superselective approach optimizes clinical success while minimizing complications. This minimally invasive approach improves patients with haemodynamic instability, serves as a bridge to elective surgery, and is a highly effective treatment for RHPO. It may obviate the need for more invasive and morbid surgical therapies. The aim of the present review was to describe the current management of RHPO and the technique of PAE and to review its efficacy and associated morbidity.

Original languageEnglish (US)
Pages (from-to)359-365
Number of pages7
JournalBJU International
Volume118
Issue number3
DOIs
StatePublished - Sep 1 2016

Keywords

  • benign prostatic hyperplasia
  • prostate artery embolization
  • prostate cancer
  • refractory haematuria

ASJC Scopus subject areas

  • Medicine(all)
  • Urology

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    Pereira, K., Halpern, J. A., McClure, T. D., Lewis, N. A., Kably, M., Bhatia, S., & Hu, J. C. (2016). Role of prostate artery embolization in the management of refractory haematuria of prostatic origin. BJU International, 118(3), 359-365. https://doi.org/10.1111/bju.13524