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Updated: Jul 31, 2025
05:28
Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser
Published on: May 5, 2020
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[Penile necrosis, a specific complication of prostatic artery embolization]
Maxime Pattou1, Yann Neuzillet1, Thierry Lebret1
1Service d'urologie, hôpital Foch, Suresnes, France.
Summary
Prostatic artery embolization (PAE) for benign prostatic hyperplasia (BPH) can lead to severe complications like penile necrosis. This case highlights the significant risks, questioning PAE
Area of Science:
- Urology
- Interventional Radiology
Background:
- Benign prostatic hyperplasia (BPH) is commonly treated with endoscopic surgery.
- Prostatic artery embolization (PAE) emerged as a less invasive alternative to preserve sexual function.
- PAE's technical challenges and unconfirmed outcomes limit its current recommendation.
Observation:
- A case report details a severe complication following PAE.
- A 75-year-old patient developed penile necrosis and glans necrosis post-PAE.
- The patient experienced worsened lower urinary tract symptoms and erectile dysfunction.
Findings:
- PAE resulted in penile ischemia and necrosis in a BPH patient.
- Despite attempts at deobstruction, severe complications occurred.
- Postoperative outcomes included refractory erectile dysfunction.
Implications:
- The benefit-risk balance of PAE for BPH requires further evaluation.
- PAE carries risks of severe complications, such as penile ischemia, not seen in traditional surgery.
- PAE should be limited to clinical trials until its safety and efficacy are confirmed.
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