Evidence map›Paper›PMID 42382880›Full record

ArticleCureus2026

Bilateral Prostate Artery Embolization for Massive Benign Prostatic Hyperplasia in a Frail Elderly Patient With Recurrent Urinary Retention.

Ana B Cuni Hernandez, Paige Carruthers, Elizabeth Blanco Espinosa, Idania Cruzata Matos, Claudia A Garcia Gonzalez, Laura Diaz Perez, Raysa Garces Ruiz

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ana B Cuni HernandezFamily Medicine, Atlas Urology, Bradenton, USA.
Paige CarruthersUrology, Atlas Urology, Bradenton, USA.
Elizabeth Blanco EspinosaGeneral Surgery, Hospital Arnaldo Milian, Villa Clara, CUB.
Idania Cruzata MatosGeneral Medicine, HCA Healthcare, Henderson, USA.
Claudia A Garcia GonzalezCritical Care, Faustino Perez Hospital, Matanzas, CUB.
Laura Diaz PerezFamily Medicine, Included Health, Lewiston, USA.
Raysa Garces RuizFamily Medicine, Institute of Medical Sciences of Camaguey, Camaguey, CUB.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Benign prostatic hyperplasia (BPH) is a highly prevalent condition among elderly men and a major cause of lower urinary tract symptoms (LUTS), urinary retention, recurrent urinary tract infections (UTIs), hematuria, and bladder outlet obstruction (BOO). Management of severe BPH in elderly patients with multiple comorbidities remains challenging, particularly in those who are poor surgical candidates. Prostate artery embolization (PAE) has emerged as a minimally invasive alternative for symptomatic relief in patients with moderate-to-severe LUTS secondary to BPH. We present the case of an 87-year-old male with massive BPH (estimated prostate volume 263 g) complicated by recurrent urinary retention, recurrent catheter-associated UTIs (CAUTIs), gross hematuria, and chronic Foley catheter dependence despite maximal medical therapy with tamsulosin and finasteride. His medical history was significant for coronary artery disease with prior cardiac stent placement, prior stroke, chronic anticoagulation therapy, hypertension, nephrolithiasis, and cognitive impairment, making him a high-risk candidate for conventional surgical intervention. Imaging and cystoscopic evaluation confirmed severe prostatomegaly with intravesical prostatic protrusion and BOO. The patient underwent successful bilateral PAE via left radial artery access using 300-500 μm embospheres without procedural complications. At follow-up, he demonstrated marked symptomatic improvement with restoration of spontaneous voiding, absence of recurrent urinary retention, and reduction of post-void residual volume to 35 mL. No further catheter obstruction or catheter-associated infections were reported. This case highlights the effectiveness and safety of PAE as a minimally invasive therapeutic option for elderly high-risk patients with giant BPH and chronic catheter dependence. The favorable clinical outcome observed further supports the growing role of PAE in complex geriatric urologic populations who are not ideal candidates for traditional surgical management.

Indexed as

bphinterventional radiologylower urinary tract symptomsprostate artery embolization (pae)urinary retention (ur)

Identifiers

PMID42382880
PMCPMC13318383

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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.