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

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

• Prostatic artery embolization
• Incontinence
• Bladder outlet obstruction
• Benign prostatic hyperplasia
• Posterior urethroplasty
• Supra-crural rerouting