Safety and efficacy of holmium laser enucleation of prostate as salvage procedure for persistent or recurrent lower urinary tract symptoms secondary to bladder outlet obstruction after prior prostate artery embolization: a match analysis

2021 ◽  
Author(s):  
Madhumita Parmar ◽  
Jonathan E. Katz ◽  
Ruben Blachman-Braun ◽  
Nicholas A. Smith ◽  
Sabrina M. Oneto ◽  
...  
Keyword(s):  
Bladder Outlet Obstruction ◽  
Outlet Obstruction ◽  
Salvage Procedure ◽  
Artery Embolization ◽  
Match Analysis ◽  
Prostate Artery Embolization ◽  
Urinary Tract Symptoms ◽  
Laser Enucleation ◽  
Holmium Laser Enucleation ◽  
Lower Urinary

Bladder outlet obstruction

2019 ◽  
pp. 71-128
Author(s):  
John Reynard ◽  
Simon F Brewster ◽  
Suzanne Biers ◽  
Naomi Laura Neal
Keyword(s):  
Bladder Outlet Obstruction ◽  
Treatment Options ◽  
Historical Context ◽  
Outlet Obstruction ◽  
Prostatic Hyperplasia ◽  
Bleeding Management ◽  
Prostate Artery Embolization ◽  
Laser Enucleation ◽  
Holmium Laser Enucleation ◽  
Invasive Management

This chapter outlines the pathophysiology and causes of bladder outlet obstruction, along with diagnostic investigations and treatment options depending on the cause. Minimally invasive management of benign prostatic hyperplasia no longer includes thermotherapy or transurethral radiofrequency needle ablation, though these are briefly discussed by way of historical context. The new procedure of UroLift is discussed. Holmium laser enucleation of the prostate (HoLEP) has essentially replaced other forms of laser prostatectomy. Prostate artery embolization is increasingly used for troublesome prostatic bleeding. Management of acute and chronic forms of urinary retention are comprehensively discussed.

An elderly male with lower urinary tract symptoms during COVID-19 pandemic: Extraperitoneal perforation of bladder diverticulum

2021 ◽  
pp. 039156032110229
Author(s):  
Amit Sharma ◽  
Deepak Biswal ◽  
Satyadeo Sharma ◽  
Siddhant Roy
Keyword(s):  
Bladder Outlet Obstruction ◽  
Outlet Obstruction ◽  
Transurethral Resection Of Prostate ◽  
Bladder Diverticulum ◽  
Elderly Male ◽  
Bladder Drainage ◽  
Intravenous Antibiotics ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Case: We present a case of spontaneous extra-peritoneal rupture of an acquired diverticulum an elderly male with symptoms of bladder outlet obstruction who presented in emergency with acute abdomen. Outcome: The acute phase was managed conservatively with bladder drainage and intravenous antibiotics. He recently underwent Transurethral Resection of Prostate. He is asymptomatic on follow-up. Conclusions: Acquired bladder diverticulum are rare in adults and are mostly seen in patients with high pressure bladder due to bladder outlet obstruction. Atraumatic extraperitoneal ruptures of diverticulum are uncommonly reported.

scholarly journals Prostate artery embolization: a new, minimally invasive treatment for lower urinary tract symptoms secondary to prostate enlargement

2017 ◽  
Vol 9 (8) ◽  
pp. 209-216 ◽  
Author(s):  
Drew Maclean ◽  
Ben Maher ◽  
Sachin Modi ◽  
Mark Harris ◽  
Jonathan Dyer ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Benign Prostatic Obstruction ◽  
Artery Embolization ◽  
Invasive Treatment ◽  
Prostate Artery Embolization ◽  
Efficacious Treatment ◽  
Prostate Enlargement ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Prostate artery embolization (PAE) is emerging as a safe and efficacious treatment which approaches benign prostatic obstruction (BPO) from a unique perspective. This brings with it distinct advantages and solutions, which we discuss along with cost, evidence, complications and disadvantages.

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