Prostate Artery Embolization for Megaprostate Causing Urinary Retention, DVT and Macroscopic Haematuria Post Thrombolysis and Catheterisation: A Case Report

Abstract

Background: Benign prostatic hyperplasia is the most common urological condition affecting quality of life in men. Its incidence increases proportionally with age and typically manifests with mixed lower urinary tract symptoms. Giant prostatic hyperplasia, the most extreme form of BPH, can present with more serious clinical consequences and presents a challenge to surgical management. Case presentation: We present the first reported case of provoked deep vein thrombosis and near fatal pulmonary embolus from a symptomatic megaprostate exerting pelvic mass effect on the external iliac vein, further complicated by haematuria post catheter-directed thrombolysis. Conclusion: This case highlights the success of prostate artery embolization and catheter-directed thrombolysis to treat potential sequelae of giant prostate hyperplasia.