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Case Report

Med Arch. 2025; 79(4): 331-334


Prostate Artery Embolization with Histoacryl-Lipiodol Mixture: a Successful Case of Refractory Hematuria Management in a 98-Year-Old Patient

Mishal Alarifi, Abdullah Mousa Al Zahrani, Abdulaziz Mohammad Al-sharydah.



Abstract
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Background: Secondary hematuria due to benign prostatic hyperplasia (BPH) is especially challenging to treat in elderly, high-risk patients. It can be very difficult to manage with conventional therapies. Objective: This case report illustrates the successful use of PAE to treat refractory hematuria in a 98-year-old male with advanced BPH. Case presentation: In this report, we present a 98-year-old male who had recurrent hematuria and was successfully treated with prostate artery embolization (PAE). The patient underwent bilateral prostate artery. PAE, which led to resolution of the hematuria without complication. Conclusion: This case demonstrates the effectiveness of PAE as a minimally invasive surgical technique in attempting to resolve complex clinical problems.

Key words: BPH, Hematuria, Embolization.







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2025

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