Prostatic Artery Embolization and Sexual Function: Literature Review and Comparison to Other Urologic Interventions

Wong, Thomas Y.; Tembelis, Miltiadis; Acharya, V.; Hoffmann, Jason C.

doi:10.1016/j.tvir.2020.100693

Cited by 7 publications

(4 citation statements)

References 48 publications

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“…Prostatic arterial embolization can block the blood supply of the enlarged prostate by embolizing bilateral prostatic arteries, which can induce ischemic necrosis and apoptosis of prostate tissue and block the internal circulation of androgen to the prostate tissue, thus improving the therapeutic effect through androgen-related apoptosis ( 25 , 26 ). At the same time, prostatic artery embolization can effectively destroy some prostatic nerves, thus eliminating the increase in smooth muscle tension in BPH patients, thus reducing urethral resistance and increasing urinary flow ( 27 , 28 ). Considering the improvement in patients’ quality of life scores and HUS, prostatic artery embolization is a recommended minimally invasive method to treat high-risk BPH patients ( 29 ).…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Prostatic Artery Embolization in the Treatment of High Risk Benign Prostatic Hyperplasia and its Influence on Postoperative Life Quality of Patients

et al. 2022

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ObjectiveTo evaluate the efficacy, safety and postoperative quality of life of high risk benign prostatic hyperplasia (BPH) patients treated with prostatic artery embolization.Methods34 patients with high-risk BPH were selectedfrom January 2020 to June 2021 in our hospital. All patients were treated with prostatic artery embolization. The changes of international prostate symptom score (IPSS), prostate volume (PV), remaining urine (RU), maximum urine flow rate (Qmax), quality of life scale -74(GQOLI-74), time to sleep without disturbance (HUS) judgment, self-rating anxiety scale (SAS) score and self-rating depression scale (SDS) were compared before operation, 1 month and 6 months after operation.ResultsProstatic artery embolization was successful in all 34 patients, including unilateral embolization in 15 patients and bilateral embolization in 19 patients. No severe complications occurred in the postoperative patients. The IPSS, PV and RU levels of the patient one month and six months after surgery were lower than those before surgery, while the Qmax level was higher than that before surgery. Besides, the IPSS, PV and RU levels six months after surgery were significantly lower than those one month after surgery, and the Qmax level was significantly higher than that one month after surgery (p < 0.05). The GQOLI-74 score six months after surgery was significantly higher than that before surgery (p < 0.05). The HUS of the patient six months after surgery was significantly increased, and the SAS and SDS scores were significantly decreased as compared with those before surgery (p < 0.05).ConclusionFor high-risk patients with BPH, prostate embolization is an effective and safe method, which can significantly improve the quality of life of patients after surgery and has good application prospects.

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Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Prostatic Artery Embolization in the Treatment of High Risk Benign Prostatic Hyperplasia and its Influence on Postoperative Life Quality of Patients

et al. 2022

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“…There are several potential treatments for benign prostatic hyperplasia (BPH) including medical management, surgical transurethral resection (TURP), laser vaporization, and open prostatectomy. There is a major complication risk of causing erectile and ejaculatory dysfunction as a result ( 178 ). Prostatic artery embolization does not carry a similar risk, while also being comparably effective for BPH treatment ( 179 ).…”

Section: Reproductivementioning

confidence: 99%

Value of interventional radiology and their contributions to modern medical systems

Campbell,

Chick,

Shin

et al. 2024

Front. Radiol.

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Interventional radiology (IR) is a unique specialty that incorporates a diverse set of skills ranging from imaging, procedures, consultation, and patient management. Understanding how IR generates value to the healthcare system is important to review from various perspectives. IR specialists need to understand how to meet demands from various stakeholders to expand their practice improving patient care. Thus, this review discusses the domains of value contributed to medical systems and outlines the parameters of success. IR benefits five distinct parties: patients, practitioners, payers, employers, and innovators. Value to patients and providers is delivered through a wide set of diagnostic and therapeutic interventions. Payers and hospital systems financially benefit from the reduced cost in medical management secondary to fast patient recovery, outpatient procedures, fewer complications, and the prestige of offering diverse expertise for complex patients. Lastly, IR is a field of rapid innovation implementing new procedural technology and techniques. Overall, IR must actively advocate for further growth and influence in the medical field as their value continues to expand in multiple domains. Despite being a nascent specialty, IR has become indispensable to modern medical practice.

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“…Many treatment options for LUTS due to BPH may have sexual side effects [ 34 ]. This can significantly affect decision making when choosing which form of therapy to pursue.…”

Section: Pre-procedural Patient Evaluationmentioning

confidence: 99%

“…The overall risk of retrograde ejaculation following PAE based on meta-analyses is estimated to be 0–2.3% [ 38 ]. Other sexual side effects from PAE such as hematospermia can occur in 16% of patients but they are generally transient [ 34 ].…”

Section: Pre-procedural Patient Evaluationmentioning

confidence: 99%

Prostate Artery Embolization—Review of Indications, Patient Selection, Techniques and Results

Naidu

Narayanan

Saini

et al. 2021

JCM

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Lower urinary tract symptoms (LUTS) due to benign prostatic hypertrophy (BPH) are a very common problem in men ranging from mild urinary symptoms to recurrent urinary tract infections or renal failure. Numerous treatment options are available ranging from conservative medical therapies to more invasive surgical options. Prostate artery embolization (PAE) has emerged as a novel treatment option for this common problem with clinical efficacy comparable to the current surgical gold standard, transurethral resection of the prostate (TURP). PAE offers fewer complications and side effects without a need for general anesthesia or hospitalization. This review discusses the indications for prostate artery embolization in addition to LUTS, patient evaluation in patients with LUTS, PAE technique and clinical results, with an emphasis on efficacy and safety.

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Prostatic Artery Embolization and Sexual Function: Literature Review and Comparison to Other Urologic Interventions

Cited by 7 publications

References 48 publications

Efficacy and Safety of Prostatic Artery Embolization in the Treatment of High Risk Benign Prostatic Hyperplasia and its Influence on Postoperative Life Quality of Patients

Efficacy and Safety of Prostatic Artery Embolization in the Treatment of High Risk Benign Prostatic Hyperplasia and its Influence on Postoperative Life Quality of Patients

Value of interventional radiology and their contributions to modern medical systems

Prostate Artery Embolization—Review of Indications, Patient Selection, Techniques and Results

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