Evidence map›Paper›PMID 41146160›Full record

ArticleBMC urology2025

Prostatic and scrotal necrosis following prostate artery embolization: a rare complication with a successful long-term outcome.

Aleksejs Zolovkins, Edoardo Massaro, Nicolò Ubaldi, Francesco Siciliano, Miltiadis Krokidis, Riccardo Lombardo, Tommaso Rossi, Marcello Andrea Tipaldi

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In one paragraph

Article in BMC urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Aleksejs ZolovkinsDepartment of Surgical and Medical Sciences and Translational Medicine, Sapienza-University of Rome, Rome, Italy.
Edoardo MassaroDepartment of Surgical and Medical Sciences and Translational Medicine, Sapienza-University of Rome, Rome, Italy.
Nicolò UbaldiDepartment of Surgical and Medical Sciences and Translational Medicine, Sapienza-University of Rome, Rome, Italy. ubaldi.nicolo@gmail.com.
Francesco SicilianoDepartment of Surgical and Medical Sciences and Translational Medicine, Sapienza-University of Rome, Rome, Italy.
Miltiadis KrokidisNational and Kapodistrian University of Athens - Aretaiio Hospital, Aretaieion Panepistemiako Nosokomeio, Athens, Greece.
Riccardo LombardoUrology Unit, Ospedale Sant'Andrea, La Sapienza University of Rome, Rome, Italy.
Tommaso RossiInterventional Radiology Unit, Department of Diagnostic Medicine and Radiology, Policlinico Umberto I Hospital of Rome,"Sapienza" University of Rome, Rome, 00161, Italy.
Marcello Andrea TipaldiDepartment of Surgical and Medical Sciences and Translational Medicine, Sapienza-University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis case report highlights a rare but severe complication of prostate artery embolization (PAE)-prostate necrosis. Once successfully managed, it resulted in an optimal long-term clinical outcome. CASE PRESENTATION: A 70-year-old male was diagnosed with benign prostatic hyperplasia (BPH) and presented with severe lower urinary tract symptoms (LUTS), requiring a permanent urethral catheter. One month after PAE, the patient developed extensive prostate necrosis, which was associated with scrotal cutaneous necrosis, confirmed through imaging and clinical evaluation. The patient was treated with intensive medical therapy and scrotal surgical debridement, leading to clinical improvement. The patient was discharged after one month following clinical improvements and was instructed to continue antibiotic therapy. An outpatient visit was scheduled for 6 months, where full recovery was observed, allowing for the removal of his urinary catheter. The patient was assessed at 18 months with a significant reduction in prostate volume (20 cc) and in the International Prostatic Symptoms Score (IPSS), dropping to 6.

conclusionProstate necrosis is an extremely rare complication of PAE. While life-threatening, if managed promptly, it can lead to an excellent long-term clinical improvement in LUTS, due to a substantial reduction in prostate volume.

Indexed as

Embolization, TherapeuticProstateProstatic HyperplasiaScrotumAgedHumansMaleNecrosisTime FactorsTreatment OutcomeBPHComplicationsIPSSLUTSPAEProstate artery embolizationProstate necrosis

Identifiers

PMID41146160
PMCPMC12557923

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.