Benign Prostatic Hyperplasia: Clinical Manifestations, Imaging, and Patient Selection for Prostate Artery Embolization

Powell, Taylor; Kellner, Daniel; Ayyagari, Raj

doi:10.1016/j.tvir.2020.100688

Cited by 10 publications

(17 citation statements)

References 20 publications

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“… Urine sediment leukocytes: mid-morning urine was taken in the morning, the urine samples were inoculated on blood agar plates with a quantitative inoculation ring, and the plates were placed in a 37°C greenhouse incubator for cultivation for 24 h; then, we take out the plate and count the number of colonies. Positive criteria: the number of bacteria in the clean midsection urine discharged from the urethra should not exceed 1 × 10 3 CFU/mL [ 10 ]. Serum inflammatory factors: five milliliters of venous blood were collected from patients in the study group before and after treatment in a vacuum blood collection tube containing anticoagulant (K2-EDTA).…”

Section: Methodsmentioning

confidence: 99%

Risk Factors of Urinary Pathogenic Bacteria Infection after Benign Prostatic Hyperplasia Surgery and Curative Effect Analysis of Shuangdong Capsule Intervention

Liu

et al. 2022

Emergency Medicine International

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Benign prostatic hyperplasia (BPH) is a common and frequently occurring disease in clinics, with the main manifestations including frequent micturition, urinary incontinence, dysuria, and endless urination. Transurethral resection of the prostate (TURP) is the main treatment for BPH, but some patients are prone to urinary tract infection after surgery, which affects the prognosis. Therefore, it is of great significance to study the pathogenic characteristics and risk factors of postoperative urinary-derived pathogenic bacteria infection in patients with BPH for the prevention and treatment of postoperative infection. In addition, the treatment of patients with this disease is also the focus of clinical attention. Long-term massive application of antibiotics can induce drug-resistant mutations of bacteria, so it is urgent to find an efficient and safe therapeutic scheme in clinics. However, traditional Chinese medicine (TCM) has a long history of treating urinary tract infections. Therefore, Shuangdong capsule, a traditional Chinese medicine preparation, was selected for the combined treatment in this study. The results showed that age, concomitant diabetes mellitus, and preoperative prophylactic application of antibiotics were the independent risk factors for postoperative urine-derived pathogenic infection in BPH patients. Clinical intervention for BPH patients with concomitant risk factors should be emphasized in clinical practice. The combined use of Shuangdong capsule and conventional western medicine can improve the clinical symptoms and inflammatory reactions of postoperative urine-derived pathogenic infection in BPH patients. Due to its exact curative effect and high safety, it is worthy of promotion. The clinical study registration number is M2022019.

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Section: Methodsmentioning

confidence: 99%

Risk Factors of Urinary Pathogenic Bacteria Infection after Benign Prostatic Hyperplasia Surgery and Curative Effect Analysis of Shuangdong Capsule Intervention

Liu

et al. 2022

Emergency Medicine International

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“…PAE can be used to treat patients with a prostate greater than 80 cm 3 . Optimal results may not be observed for 2 to 3 months, during which time the prostate gradually shrinks [50,51]. Disadvantages include possible postembolization syndrome (PES) and acute urinary retention.…”

Section: Prostate Artery Embolization (Pae)mentioning

confidence: 99%

MRI Evaluation of Patients Before and After Interventions for Benign Prostatic Hyperplasia: An Update

Diaz

Benson

Clinkenbeard

et al. 2022

American Journal of Roentgenology

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The publication of this Accepted Manuscript is provided to give early visibility to the contents of the article, which will undergo additional copyediting, typesetting, and review before it is published in its final form. During the production process, errors may be discovered that could affect the content of the Accepted Manuscript. All legal disclaimers that apply to the journal pertain. The reader is cautioned to consult the definitive version of record before relying on the contents of this document.

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“…Their effectiveness in reducing IPSS is approximately half of alpha 1 adrenergic antagonists. 7 Additionally, their side effects are more disturbing which include erectile dysfunction, decreased libido, abnormal ejaculation, and depression. The third group of medications include phosphodiesterase-5 inhibitors (tadalafil) that have an unclear mechanism of action.…”

Section: Medical Treatmentmentioning

confidence: 99%

“…On the other hand, CBCT can provide collateral flow to sites of nontarget embolization while also provide information on prostate gland and vasculature and some data indicate that there is no added value for preprocedural CTA. 7,13,14 A CT urogram is the standard of care for gross hematuria which includes an unenhanced scan, a nephrographoc phase and an excretory phase to assess for upper tract pathology including stones, renal masses, and urothelial thickening that may signal transitional cell carcinoma. Some practices incorporate MR angiography (MRA) and report a significant benefit.…”

Section: Update On Cross-sectional Imaging Angiographic Evaluationmentioning

confidence: 99%

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Updates on Preprocedural Evaluation and Patient Selection for Prostatic Artery Embolization

Rostambeigi

Golzarian

Little

2022

Semin intervent Radiol

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Prostatic artery embolization (PAE) is a safe and effective treatment for benign prostatic hyperplasia. Patient evaluation is a critical and important part of this growing practice. History taking should include symptoms score evaluations for lower urinary tract symptoms, erectile function, and prostatitis symptoms score. The objective evaluations commonly include measurement of prostate specific antigen, postvoid residual volume, and uroflowmetry as well as urodynamic studies in selective patients. Imaging evaluation may include computed tomography angiography or magnetic resonance angiography, elucidating prostate volume, prostate gland morphology, vasculature, and prostate cancer. With evolving knowledge on PAE, we aim to discuss patient evaluation and selection based on updated evidence and discuss specific scenarios.

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Benign Prostatic Hyperplasia: Clinical Manifestations, Imaging, and Patient Selection for Prostate Artery Embolization

Cited by 10 publications

References 20 publications

Risk Factors of Urinary Pathogenic Bacteria Infection after Benign Prostatic Hyperplasia Surgery and Curative Effect Analysis of Shuangdong Capsule Intervention

Risk Factors of Urinary Pathogenic Bacteria Infection after Benign Prostatic Hyperplasia Surgery and Curative Effect Analysis of Shuangdong Capsule Intervention

MRI Evaluation of Patients Before and After Interventions for Benign Prostatic Hyperplasia: An Update

Updates on Preprocedural Evaluation and Patient Selection for Prostatic Artery Embolization

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