Prostate Artery Embolization used to treat LUTS from BPH. Mi | Figure 1

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Prostate Artery Embolization used to treat LUTS from BPH. Minimally invasive procedure through a pinprick in the groin! Have you heard of this procedure? Would you like to see more?#Benign-prostatic-hyperplasia

Why you should join Figure 1

Bipolar versus monopolar transurethral resection of the prostate for lower urinary tract symptoms secondary to benign prostatic obstruction

Review question
How does surgery using bipolar technology compare with traditional monopolar technology for men with an enlarged prostate causing difficulty with urination?
Background
People with an enlarged prostate can experience difficulty passing urine. This occurs because the enlarged prostate compresses the urinary tube from which urine leaves the bladder. One option for treatment of this condition is telescopic surgery, which acts to remove prostate tissue and relieve the blockage. This is traditionally performed using a technology called monopolar TURP (short for 'transurethral resection of the prostate'). In recent times, a technique called bipolar TURP has been developed. This approach uses saline instead of other watery fluids and may put men at lower risk for a problem called TUR syndrome, which is a rare but potentially serious complication caused by fluid absorption, but it is unclear how the two procedures compare overall.

How up‐to‐date is this review?
The studies included in this review are those that were available via an electronic database search conducted on 19 March 2019.

Study characteristics
We searched the medical literature for clinical trials up to 19 March 2019. We found 59 randomised trials that compared BTURP with MTURP. These studies included a total of 8924 patients. The longest period of follow‐up for the outcomes of interest was 12 months after treatment.

Key results
Compared to MTURP, BTURP probably results in similar reduction in urinary symptoms and bother.
It probably slightly reduces both the risk of TUR syndrome and the need for blood transfusion.
Erectile function is probably similar after both procedures, as is the risk of urinary incontinence and the need for a repeat procedure.
Quality of evidence
The quality of evidence for the outcomes of ability to pass urine, patient bother, TUR syndrome, need for blood transfusion, and erectile function was considered to be moderate. The quality of evidence for the outcomes of urinary leakage after the procedure and need for a repeat procedure was low.

prostate adenomectomy. This is a 2mm focus. Do you think it is an adenocarcinoma usual type acinar??

old man catheterized, complained of pain. incorrect procedure and subsequent prostate abscess #mri

prostate MRI for elevated PSA (prostate at arrow for the unfamiliar). What do you see on this image? Additional images to follow. Rads, give non-rads first crack at this one

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?