Nécrose pénienne, une complication spécifique de l’embolisation prostatique.

Pattou, Maxime; Neuzillet, Yann; Lebret, Thierry; Yonneau, Laurent; Madec, François-Xavier

doi:10.1016/j.purol.2023.04.003

Nécrose pénienne, une complication spécifique de l’embolisation prostatique.

Auteurs : Pattou M¹, Neuzillet Y¹, Lebret T¹, Yonneau L¹, Madec FX¹

Affiliations : ¹Service d'urologie, hôpital Foch, Suresnes, France.

Date 2023 Août, Vol 33, Num 8-9, pp 407-411Revue : Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologieType de publication : présentations de cas; résumé en anglais; article de périodique; DOI : 10.1016/j.purol.2023.04.003

Résumé

Endoscopic surgery is the standard treatment for benign prostatic hyperplasia (BPH) refractory to pharmacological treatments. In order to reduce invasiveness and preserve sexual function, prostatic artery embolization (PAE) has been developed. However, the technical difficulties of carrying out this procedure and the results, which have yet to be confirmed, mean that it is not currently recommended. The seriousness of the complications generated should lead to a reflection on the benefit-risk balance. The objective is to report a case of penile ischemia after embolization of the prostatic arteries.A severe complication following prostatic artery embolization (PAE) is reported with its clinical and paraclinical evaluation before and after the procedure as well as the therapeutic management.Penile necrosis following prostatic artery embolization was reported in a 75-year-old patient despite an attempt of deobstruction. Lower urinary tract symptoms worsened postoperatively, associated with glans necrosis and refractory erectile dysfunction.The place of PAE in the therapeutic arsenal of BPH needs to be confirmed. This innovative technique exposes the patient to potentially severe risks such as penile ischemia, not encountered in conventional endoscopic surgical treatment. PAE should not be included in the therapeutic armamentarium for BPH outside of clinical trials.

Mot-clés auteurs

benign prostatic hyperplasia; dysfonction érectile; dysuria; dysurie; embolisation de l’artère prostatique; erectile dysfunction; hypertrophie bénigne de prostate; necrosis; nécrose; prostatic artery embolization;

Source : MEDLINE©/Pubmed© U.S National Library of Medicine

Accès à l'article

Accès restreint

Accès à distance aux ressources électroniques :

Exporter

Citer cet article

Pattou M, Neuzillet Y, Lebret T, Yonneau L, Madec F. Nécrose pénienne, une complication spécifique de l’embolisation prostatique. Prog. Urol.. 2023 Août;33(8-9):407-411.