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Prostatic artery embolization (PAE), an outpatient procedure performed by interventional radiologists, is an option for managing urinary retention and severe hematuria caused by benign prostatic hyperplasia (BPH). Patients at high risk for complications from more invasive treatments and patients with extremely large prostate volume are especially suitable for PAE.
In this case series from Yale University, 75 patients (mean age, 78) underwent PAE for urinary retention, ongoing or severe gross hematuria, or both conditions. All patients were considered to be poor surgical candidates because of large gland size or medical comorbidities. Most patients had 6 to 12 months of follow-up. Among the 46 patients with urinary retention, about three quar…