Carbon Dioxide Angiography for Prostatic Artery Embolization in a Patient with Massive Prostatomegaly and Chronic Kidney Disease

Chronic kidney disease (CKD) secondary to obstructive uropathy is a known complication of advanced benign prostatic hyperplasia (BPH) (1). Prostatic artery embolization (PAE) effectively treats lower urinary tract symptoms related to BPH and relieves urinary obstruction but requires angiography, typically with iodinated contrast material, which is relatively contraindicated in CKD. This case of obstructive uropathy was treated with PAE performed with predominantly carbon dioxide (CO2) contrast material.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Tags: Letter to the Editor Source Type: research

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Conclusion: In conclusion, patients with a ureteral catheter associated with APN should be given close attention with regards to the above risk factors. Early removal of the catheter is the best policy for the prevention of APN. PMID: 32975161 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Urology - Category: Urology & Nephrology Tags: Scand J Urol Source Type: research
Conclusion: Our study presents a case of nephrogenic diabetes insipidus caused by urinary obstruction. Differential diagnoses for diabetes insipidus as well as the relationship between nephrogenic diabetes insipidus and urinary obstruction are also considered in this study.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
This study suggest that Inhibition of PDE5 might be effective to delay the CKD progression. AbstractPhosphodiesterase 5 inhibitors are widely used to treat erectile dysfunction and lower urinary tract symptoms with benign prostatic hyperplasia. Recent studies have indicated the renoprotective effects of this class of compounds. Whether renoprotection depends on blood pressure reduction remains controversial. In this study, we investigated the renoprotective effects of the phosphodiesterase 5 inhibitor, tadalafil, in a rat model of high ‐salt induced kidney injury with hypertension. Dahl salt‐sensitive rats were fed a n...
Source: Physiological Reports - Category: Physiology Authors: Tags: ORIGINAL RESEARCH Source Type: research
Conclusion: Patients with BPH who had these risk factors had an increased risk of one-year recurrent IS. The modification of risk factors may prevent recurrent IS.
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
A 65-year-old Caucasian man presented with a 24-year history of perineal leakage, bleeding, and mobility limitations associated with enlarging anogenital mass. He delayed addressing this issue due to myocardial infarction and cardiac stenting requiring long-term anticoagulation. Other past medical history included diabetes mellitus, chronic kidney disease, obstructive sleep apnea, hypertension, and benign prostatic hyperplasia. He never pursued a biopsy or culture of the area.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
We report on such a case in which a patient was found to be hyponatremic after evaluation. An 88-year-old male who presented to the emergency department was found to be hyponatremic secondary to amiodarone-induced SIADH following a fall, with possible seizure and traumatic brain injury. He had a history of hypertension, paroxysmal atrial fibrillation, emphysema, myocardial infarction, benign prostatic hyperplasia, chronic kidney disease, Meniere's disease, anemia, and gastroesophageal reflux. Upon admission, his urine sodium level was elevated, and his serum sodium, urine osmolality, and anion gap were below normal. In the...
Source: P and T - Category: Drugs & Pharmacology Tags: P T Source Type: research
lash;ransson LG Abstract BACKGROUND: Purple urine bag syndrome (PUBS) can occur in cases of bacteriuria with species expressing enzymes capable of converting tryptophan metabolites to red and blue pigments which are excreted in urine, leaving a characteristic purple colour. Risk factors include urinary catheterisation, constipation and chronic kidney disease. Treatment includes catheter replacement, and antibiotics in case of urinary tract infection. CASE PRESENTATION: A man in his 70s with myelodysplastic syndrome, stage 5 chronic kidney disease and chronic indwelling urinary catheterisation due to benign pr...
Source: Tidsskrift for den Norske Laegeforening - Category: General Medicine Authors: Tags: Tidsskr Nor Laegeforen Source Type: research
L Umesha, SM Shivaprasad, EN Rajiv, MM Satish Kumar, V Leelavathy, CG Sreedhara, MR NiranjanIndian Journal of Nephrology 2018 28(6):454-461 Acute pyelonephritis (APN), although a common clinical entity, still not much is known about the clinical profile in the Indian scenario. We prospectively collected clinical, biochemical, and radiological data of patients hospitalized with a diagnosis of APN from March 2014 to June 2016. A total of 296 cases were included in the study. Mean age was 53.85 ± 9.78 years. Male to females ratio was 1.93:1. Among the risk factors recognized for complicated pyelonephritis (PN), diabetes...
Source: Indian Journal of Nephrology - Category: Urology & Nephrology Authors: Source Type: research
Chronic obstructive pulmonary disease (COPD) was the fourth leading cause of death worldwide in 2012, affecting 12.0% of the population [1]. It is defined by persistent respiratory symptoms and airflow limitation due to airway and/or alveolar abnormalities [2]. Tobacco smoking is the main risk factor for COPD, but air pollution and occupational exposure to noxious particles or gases can also increase the risk of developing the condition [2]. For 74.2% –90.8% of patients included in observational studies, COPD was aggravated by the coexistence of at least one other chronic disease such as diabetes, depression, or high...
Source: Respiratory Medicine - Category: Respiratory Medicine Authors: Source Type: research
This study investigated the clinical efficacy of a popular CHM, Wu-Ling-San (WLS), in Taiwan for the prophylaxis of recurrent nephrolithiasis as assessed by surgical stone treatment via a nationwide population-based cohort study. The National Health Insurance Research Database, 2000–2010, which included one million patient records. All patients diagnosed with stone disease at the beginning of the study. The matched controls (4-fold the number of WLS patients) were stone patients who did not take WLS. Data analysis included the stone surgeries following the first treatment. We enrolled 11 900 patients with stone disea...
Source: Inquiry: The Journal of Health Care Organization, Provision, and Financing - Category: Health Management Authors: Tags: Healthcare in the National Health Insurance System in Taiwan Source Type: research
More News: Angiography | Benign Prostatic Hyperplasia | Chronic Kidney Disease | Radiology | Urology & Nephrology