164 Auto-Amputation of Prostate After Prostate Artery Embolisation for Benign Prostatic Hyperplasia

Prostate Artery Embolisation (PAE) is a treatment modality for Benign Prostatic Hyperplasia (BPH) which is considered to be effective with a low complication rate. It is used as an alternative to Transurethral Resection of the Prostate (TURP), for example, if the prostate is very enlarged or if the patient is unsuitable for general anaesthesia. This case study looks into an 84-year-old male who underwent PAE for Benign Prostatic Hyperplasia. The unusual complication of auto-amputation of the prostate which was found to be in the form of ‘a large (more than 10cm) sloughed tissue’ within the bladder. This finding was made 1 year post procedure with patient presenting with lower urinary tract symptoms, dysuria and ongoing haematuria, requiring multiple blood transfusions. Laser Cystolitholapaxy was initially done followed by Morcellation + completion TURP. Given that this procedure is done by an Interventional Radiologist, it is important to raise awareness of it occurring and to ensure there is a standardized follow up plan available for these patients. Evidence shows TURP remains the more effective method over PAE in terms of symptom improvement. Therefore, it is important to find patients suitable for PAE by working with the Interventional Radiologists.