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Purpose: To evaluate the efficacy of prostate artery embolization (PAE) for the treatment of benign prostatic hyperplasia (BPH) for prostates 80 g. Materials: Patient demographics, International Prostate Symptom Score (IPSS), Quality of Life score (QOL), prostate volume assessed by MRI, maximum urinary flow (Qmax), and post-void residual (PVR) volume were evaluated as part of an IRB-approved retrospective analysis at a single institution. Exclusion criteria included patients with active urinary tract infection, renal failure, or severe atherosclerosis. Results: Between January 2014 and September 2017, 110 patients underwent PAE for BPH with prostate size 80 g. Mean patient age was 69.0 years, mean baseline QOL was 4.7, and mean prostate volume was 153.7 g. At 1, 3, 6, and 12 months, QOL score improved to 1.6, 1.0, 0.9, and 1.1, respectively (p<0.001 for all). At 3 and 12 months of follow-up, mean prostate volume had decreased to 105.4g (p<0.001) and 96.1g (p<0.001). Among the 85 (77.3%) patients non-reliant on bladder catheterization prior to

Background: Superior Hypogastric nerve Block (SHNB) has been shown to be an effective pain management technique after Uterine Fibroid Embolization (UFE), reducing the need for opiates and allowing same-day discharge after UFE. In this technical note we discuss relevant anatomy and technical details in performing SHNB. Main body: The Superior hypogastric plexus (SHP) is the part of the abdominopelvic sympathetic nervous system that provides a targeted intervention to sympathetic-mediated pain pathways of pelvic organs and a target for an anterior approach Superior Hypogastric nerve Block after embolization. Vascular structures are in close relation to the intended site of target of the SHP at the L5 vertebral body include aortic bifurcation and IVC confluence, hence a detailed knowledge of this is essential. A step by step technical approach to SHNB includes patient positioning for the block, image guidance and needle positioning, choice and technique of anesthetic injection. Traversing a large fibroid uterus, inadvertent vascular opacification and Local anesthetic systemic toxicity present challenges to performing the block and are addressed. Conclusion: Superior Hypogastric nerve Block (SHNB) can be a useful tool in the Interventional armamentarium to make UFE a better experience for patients with fibroids, allowing for better pain control as well as facilitating same day discharge. Performing SHNB appear to be can be performed with technical ease for an interventional radiologist.

¼ 0.03) were significant predictors of residual disease. However, lesion's size, biochemical scoring, prior TACE, multifocality, tumor pathology, segmental location and nearby vasculature did not have an impact. Conclusions: Subcapsular location, degree of cirrhosis, presence of NASH, age and elevated BMI were independent factors associated with higher likelihood of residual disease. This high rate of recurrence after MWA in the HCC subset, warrants further investigation into factors predicting early recurrence and potential adjuvant therapies.