Deep Vein Thrombosis Secondary to Benign Prostatic Hyperplasia Managed with Holmium Laser Enucleation of the Prostate after Prostatic Artery Embolization

We present the case of a 76 year old patient with severe prostate enlargement and chronic bladder distension causing compression of the common iliac vein and DVT.Initial treatment was done with prostate artery embolization (PAE), but he had persistent urinary retention.The patient was ultimately treated with HoLEP, effectively resolving his lower urinary tract symptoms (LUTS).We discuss the use of PAE in significant prostate enlargement with severe symptoms and the use of HoLEP as a safe, effective salvage therapy for patients with residual LUTS after primary PAE.