Seminal vesicle abnormalities following prostatic artery embolization for the treatment of benign prostatic hyperplasia

Abstract

BackgroundProstatic artery embolization (PAE) has been proved effective in the treatment of lower urinary tracts (LUTS) secondary to benign prostatic hyperplasia (BPH) with low complications, and most of the them are due to non-target embolization of adjacent organs, such as bladder, rectum, seminal vesicles and penis. Aim of this study was to present seminal vesicle (SV) abnormalities following prostatic artery embolization (PAE) for the treatment of symptomatic benign prostatic hyperplasia.MethodsWe reviewed 139 BPH patients who received PAE during the period of February 2009 and January 2015 at a single institution, highlighting seminal vesicle abnormalities and their clinical relevance after PAE. PAE was performed using 90~ 180-μm (mean 100-μm) polyvinyl alcohol foam particles.ResultsNine of 139 patients with SV abnormalities (6.5%) were identified by magnetic resonance imaging (MRI), including subacute haemorrhage in 3 patients and ischaemia in 6 patients. Using cone-beam computed tomography (CB-CT), the seminal vesicle arteries were identified 8 of the 9 patients. All 9 patients complained of a few episodes of mild haematospermia during the 1–4 weeks after PAE; the haematospermia disappeared spontaneously without any treatment.ConclusionSV haemorrhage and ischaemia may occur after PAE, and these patients may present with transient and self-limited haematospermia.

Safety Profile of Ambulatory Prostatic Artery Embolization after a Significant Learning Curve: Update on Adverse Events

“…Previous reports link its occurrence to the non-target embolization of seminal vesicles [ 2 ]. Ischemia of the seminal vesicles following PAE was described [ 36 , 37 ], but as all control MRI in this study did not show morphological/enhancement abnormalities of the SV in patients manifesting hematospermia, bleeding from necrotic prostatic tissue during ejaculation may not be excluded. This is why it was decided in this report to consider hematospermia as a post-embolization symptom rather than an adverse event.…”

Prostatic artery embolization in men with severe hemophilia a: a case report of two patients

“…In our experience, intermittent factor replacement provides satisfactory factor levels while helping to minimize the overall cost. Following PAE, transient hematuria and hematospermia can occur as minor complications in about 10% of patients (Moreira et al, 2017;Zhang et al, 2018). To account for that, TA was added to the management plans as an antifibrinolytic agent with good effect.…”

Microcirculatory changes and damage to the epithelium of spermatic blisters of rats in conditions of modeling and remodeling of circulatory disorders.

“…Отже, безпліддя не може залишатися поза увагою при вирішенні загальної проблеми, що спрямована на підвищення рівня народжуваності. Досі немає чіткого морфологічного уявлення про структурні зміни у сім'яних пухирцях, що відбуваються у них підчас порушень кровообігу органів репродуктивної системи, тоді як клінічні прояви порушень у цих органах чітко підтверджені на практиці [8][9][10]. Мета Таким чином, вивчення змін паренхіми та мікроциркуляції сім'яних пухирців при порушеннях кровообігу органів сечостатевої системи є актуальним та становить мету даного дослідження.…”