Prostatic artery embolization for bladder outlet obstruction in the setting of prior posterior urethroplasty

Daniel Pierce; Aaron Dahmen; Cliff Davis; Lucas Wiegand

doi:10.1016/j.eucr.2021.101590

Prostatic artery embolization for bladder outlet obstruction in the setting of prior posterior urethroplasty

Urol Case Rep. 2021 Feb 1:36:101590. doi: 10.1016/j.eucr.2021.101590. eCollection 2021 May.

Authors

Daniel Pierce¹, Aaron Dahmen¹, Cliff Davis², Lucas Wiegand¹

Affiliations

¹ University of South Florida Department of Urology, USA.
² University of South Florida Department of Interventional Radiology, USA.

Abstract

This case presents a patient with a remote history of complex posterior urethral repair related to a prior motorcycle accident who presented to the urology clinic in urinary retention with associated lower urinary tract symptoms. Due to his altered anatomy, traditional outlet procedures were deferred due to significant reported risks of post treatment urinary incontinence. Decision was made to proceed with prostatic artery embolization, and at follow up he reported resolution of his urinary retention and significant symptomatic improvement in his voiding without development of urinary incontinence.

Keywords: Benign prostatic hyperplasia; Bladder outlet obstruction; Incontinence; Posterior urethroplasty; Prostatic artery embolization; Supra-crural rerouting.

Publication types

Case Reports