Ischemic penile necrosis following embolization of the prostate for benign prostatic hyperplasia: A case report

Abstract

Prostatic artery embolization (PAE) provides a minimally invasive approach for treating benign prostatic hyperplasia (BPH) by occluding prostatic arteries to decrease prostate volume. While offering benefits, PAE can lead to severe complications, such as ischemic necrosis of the penis, due to unintended embolization of penile arteries. This is highlighted by the case of a 62-year-old man who, after PAE, suffered from glans necrosis accompanied by intense perineal pain and acute urinary retention. Although conservative treatment facilitated recovery, his erectile function remains compromised and urinary symptoms have worsened. This underscores the importance of discussing potential risks and alternatives with patient.

Keywords

• Embolization
• Therapeutic* / adverse effects
• Prostatic hyperplasia* / complications
• Necrosis
• Erectile dysfunction
• Penile diseases