Affiliation:
1. Academician I.P. Pavlov First Saint Petersburg State Medical University
Abstract
Prostatic bleeding is life-threatening, and its most common cause is locally advanced prostate cancer. In several patients, hemostatic therapy is ineffective. Surgery is not feasible in most patients owing to the high surgical risk. In such cases, prostatic artery embolization may be the method of choice to stop the bleeding. This procedure is minimally invasive; thus, it can be performed in patients with contraindications to more extensive operations. Despite limited experience with embolization of prostatic arteries, according to the literature, it is effective in 90% of treated patients. This article provides a review of the literature and clinical observations of the successful use of prostatic artery embolization to stop bleeding in patients with locally advanced prostate cancer.
Reference17 articles.
1. Prostate cancer. Epidemiology, risk factors and early detection
2. Karpov YeI. Prophylaxis of prostate cancer: current status of the problem. Effective pharmacotherapy. Urology and nephrology. 2015;(3):32–37. EDN: OBBMNL
3. Khvastunov RA. Prostate cancer. Journal of Volgograd State Medical University. 2008;(3):3–8. EDN: JSKERB
4. Prostatic Arterial Embolization for Control of Hematuria in Patients with Advanced Prostate Cancer
5. Role of prostate artery embolization in the management of refractory haematuria of prostatic origin