CASE STUDY: RARE COMPLICATION - DISTAL NECROSIS OF THE HEAD OF THE PENIS AFTER X-RAY ENDOVASCULAR EMBOLIZATION ARTERY OF THE PROSTATE
Embolization of prostatic arteries is an X-ray endovascular method for treating patients with lower urinary tract symptoms caused by benign prostatic hyperplasia, or, as it is now described in the literature, benign prostatic obstruction, which improves the quality of life with minimal side effects. This publication describes a rare clinical case of complications after selective X-ray endovascular embolization of prostatic arteries in benign prostatic obstruction.
Data which presented in the article will be useful to representatives of practical health care, urologists-andrologists, surgeons, interventional radiologists, vascular surgeons.
Ulan Zhaparov 1, https: //orcid.org/0000-0002-9859-1253,
Gafur Khairli 1, https: //orcid.org/0000-0002-5611-0116,
Ulanbek Zhanbyrbekuly 1, https: //orcid.org/0000-0003-1849-6924,
Aluadin Nurberdiev 1, https: //orcid.org/0000-0001-8053-2805,
Alexey Suchshenko 1, https: //orcid.org/0000-0002-1834-7614,
Ravil Sherkhanov 1, https: //orcid.org/0000-0001-7702-4236,
Almas Kazhitaev 2, https: //orcid.org/0000-0002-5371-6788,
Erlan Seksenbaev 2, https: //orcid.org/0000-0003-0130-2919,
Zhusipzhan Islamov 1, https: //orcid.org/0000-0002-7765-2424,
Bakhtiyar Rakhimov 2, https: //orcid.org/0000-0003-3877-8574
1 NCJSC “Astana Medical University”, Nur-Sultan city, Republic of Kazakhstan;
2 SUS on REM “Multifunctional Regional Hospital № 2”, Nur-Sultan city, Republic of Kazakhstan.
1. Жуков О.Б., Уколов В.А., Щербинин С.Н. и др. Протокол ведения больных с рентгеноэндоваскулярной эмболизацией артерий предстательной железы при ее доброкачественной гиперплазии // Андрология и генитальная хирургия. 2016; 17(2):68–76.
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4. Carnevale F.C., Antunes A.A. et al. Prostatic artery embolization as a primary treatment for benign prostatic hyperplasia: preliminary results in two patients // Cardiovasc Intervent Radiol. 2010 33(2):355–61.
5. Carnevale F.C., da Motta-Leal-Filho J.M., Antunes A.A. et al. Quality of life and clinical symptom improvement support prostatic artery embolization for patients with acute urinary retention caused by benign prostatic hyperplasia // J. Vasc. Interv. Radiol. 2013; 24:535–42.
6. Gao Y.A., Huang Y. et al. Benign prostatic hyperplasia: prostatic arterial embolization versus transurethral resection of the prostate – a prospective, randomized, and controlled clinical trial // Radiology. 2014; 270:920–8.
7. McClure T. D., Ricke J. What Is New in Prostate Artery Embolization for Lower Urinary Tract Symptoms? // European urology focus. 2018. Т. 4. №. 1. С. 46-48.
8. Moreira A.M., de Assis A.M., Carnevale F.C. et al. A review of adverse events related to prostatic artery emboli-zation for treatment of bladder outlet obstruction due to BPH. Cardiovasc Intervent Radiol 2017; 40:1490–500.
9. Pisco J.M., Pinheiro L.S., Bilhim T. et al. Prostatic arterial embolization to treat benign prostatic hyperplasia // J. Vasc. Interv. Radiol. 2011. Jan. Vol. 22 (1). P. 9-11.
10. Pisco J.M., Bilhim T., Pinheiro L.C. et al. Medium- and long-term outcome of prostate artery embolization for patients with benign prostatic hyperplasia: results in 630 patients // J. Vasc. Interv. Radiol. 2016; 27:1115–22.
11. Roehrborn C.G., Barkin J., Gange S.N. et al. Five year results of the prospective randomized controlled prostatic urethral L.I.F.T. study // Can J Urol. 2017; 24: 8802–13.
References:
1. Zhukov O.B., Ukolov V.A., Shcherbinin S.N. et al. Protokol vedeniya bol'nykh s rentgenoendovaskulyarnoi embolizatsiei arterii predstatel'noi zhelezy pri ee dobrokachestvennoi giperplazii [Algorithm for management of patients with X-ray endovascular artery embolization of the prostate for its benign hyperplasia]. Andrologiya i genital'naya khirurgiya [Andrology and genital surgery]. 2016; 17(2):68–76. [in Russian]
2. Neimark A.I., Neimark B.A., Torbik D.V. Taktika vedeniya bol'nogo dobrokachestvennoi giperplaziei predstatel'noi zhelezy pri krupnom ee ob"eme [Tactics of managing a patient with benign prostatic hyperplasia with a large volume]. Byulleten' meditsinskoi nauki. [Bulletin of medical science]. 2017. №. 1 (5). pp. 44-53. [in Russian]
3. Tabynbaev N.B. et al. Embolizatsiya i khimioembolizatsiya prostaticheskikh arterii pri dobrokachestvennoi giperplazii i rake predstatel'noi zhelezy [Embolization and chemoembolization prostatic arteries of benign prostatic hyperplasia and prostate cancer]. Andrologiya i genital'naya khirurgiya [Andrology and genital surgery]. 2017. Т.18. №.1. pp. 76-79. [in Russian]
4. Carnevale F.C., Antunes A.A. et al. Prostatic artery embolization as a primary treatment for benign prostatic hyperplasia: preliminary results in two patients. Cardiovasc Intervent Radiol. 2010 33(2):355–61.
5. Carnevale F.C., da Motta-Leal-Filho J.M., Antunes A.A. et al. Quality of life and clinical symptom improvement support prostatic artery embolization for patients with acute urinary retention caused by benign prostatic hyperplasia. J. Vasc. Interv. Radiol. 2013; 24:535–42.
6. Gao Y.A., Huang Y. et al. Benign prostatic hyperplasia: prostatic arterial embolization versus transurethral resection of the prostate – a prospective, randomized, and controlled clinical trial. Radiology. 2014; 270:920–8.
7. McClure T.D., Ricke J. What Is New in Prostate Artery Embolization for Lower Urinary Tract Symptoms? European urology focus. 2018. Т. 4. №. 1. С. 46-48.
8. Moreira A.M., de Assis A.M., Carnevale F.C., Antunes A.A., Srougi M., Cerri G.G. A review of adverse events related to prostatic artery emboli-zation for treatment of bladder outlet obstruction due to BPH. Cardiovasc Intervent Radiol. 2017; 40:1490–500.
9. Pisco J.M., Pinheiro L.S., Bilhim T. et al. Prostatic arterial embolization to treat benign prostatic hyperplasia. J. Vasc. Interv. Radiol. 2011. Jan. Vol. 22 (1). P. 9-11.
10. Pisco J.M., Bilhim T., Pinheiro L.C. et al. Medium- and long-term outcome of prostate artery embolization for patients with benign prostatic hyperplasia: results in 630 patients. J. Vasc. Interv. Radiol. 2016; 27:1115–22.
Roehrborn C.G., Barkin J., Gange S.N. et al. Five year results of the prospective randomized controlled prostatic urethral L.I.F.T. study. Can J Urol. 2017; 24:8802–13.
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Bibliography link
Zhaparov U., Khairli G., Zhanbyrbekuly U., Nurberdiev A., Suchshenko A., Sherkhanov R., Kazhitaev A., Seksenbaev E., Islamov Zh., Rakhimov B. Case stady: rare complication - distal necrosis of the head of the penis after X-ray endovascular embolization artery of the prostate // Nauka i Zdravookhranenie [Science & Healthcare]. 2020, 5 (Vol.22), pp. 121-126. doi 10.34689/SH.2020.22.5.013Related publications:
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