72 year old male with benign prostatic hyperplasia (bph)
The patient in this case is a 72 year old male with a history of BPH who underwent transurethral resection of the prostate (TURP) in 2000. The patient did well in the years following TURP, however he was recently referred to interventional radiology (IR) due to acute-onset urinary retention. His urinary retention manifested clinically with multiple lower urinary tract symptoms (LUTS), including pelvic pressure, urinary urgency, and a slow, weak urinary stream. A pre-procedural international prostate symptom score (IPSS) of 30 was calculated. A foley catheter was placed as a temporizing measure to aid in bladder emptying. Following outpatient consultation with IR, the patient elected to proceed with the minimally invasive approach of prostatic artery embolization (PAE).
The patient underwent successful bilateral PAE using 250um Embozene particles and was discharged home the same day with his foley catheter remaining in place. He experienced expected mild post-embolization symptoms including fever, chills, and intermittent rectal pain relieved with oral pain medications; these post-embolization symptoms resided within 5 days. Three weeks following the procedure, the patient’s foley catheter was removed and his symptoms of urinary retention had completely resolved.