Prostatic Artery Embolization for Benign Prostatic Hyperplasia:                     Patient Evaluation, Anatomy, and Technique for Successful                     Treatment

Picel, Andrew C.; Hsieh, Tung‐Chin; Shapiro, Rachel; Vezeridis, Alex M; Isaacson, Ari J.

doi:10.1148/rg.2019180195

Cited by 48 publications

(47 citation statements)

References 85 publications

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“…Specific follow-up intervals are needed and 6 months postoperatively may not be sufficient to determine the real-world effectiveness of the procedure. 17 Thus, PAE is not regarded as an immediate ablative technique. Furthermore, one-quarter of patients in a previous study had no significant improvements of IPSS or Qmax, although technical PAE success had been achieved in some of those patients.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of prostatic artery embolization for large benign prostatic hyperplasia in elderly patients

Zhang

Wang

et al. 2021

J Int Med Res

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Objective To assess the safety and efficacy of prostatic arterial embolization (PAE) for elderly patients with lower urinary tract symptoms secondary to large benign prostatic hyperplasia. Methods Twenty-eight patients (>80 years of age) with prostate volume >80 mL were enrolled from October 2016 to October 2019. PAE was performed using microspheres and functional results were evaluated at 1, 3, 6, and 12 months postoperatively. The following data were recorded: International Prostate Symptom Score (IPSS), quality of life (QoL), maximum urine flow rate (Qmax), post-void residual urine volume, prostate volume and total prostate-specific antigen level. Results Selective prostatic arterial catheterization and embolization were achieved in 27 of 28 patients. Follow-up data were available for those 27 patients until 12 months postoperatively. Significant improvements were found at all postoperative time points in terms of the mean IPSS, mean QoL score, mean Qmax, mean post-void residual urine volume, mean total prostate-specific antigen level, and mean prostate volume. The overall complication rate was 46.4%. Conclusions PAE is an efficacious and safe treatment for elderly patients with large prostate volume; it may offer an effective approach for patients who are not candidates for open or endoscopic surgical procedures because of comorbidities.

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Section: Discussionmentioning

confidence: 99%

Safety and efficacy of prostatic artery embolization for large benign prostatic hyperplasia in elderly patients

Zhang

Wang

et al. 2021

J Int Med Res

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“…PAE is performed in the interventional radiology (IR) suite by the interventional radiologist using selective catheter-directed intraarterial administration of embolic particles [48]. The procedure can be performed via a transarterial femoral or radial approach.…”

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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“…Evaluation of the vascular prostate anatomy is critical to the planning and success of PAE (3,(20)(21)(22). Table 2 summarizes the anatomic classification of the origin of the prostatic artery, which is also called the inferior vesical artery (IVA) (21) (Table 2) (Fig 4).…”

Section: Anatomic Conceptsmentioning

confidence: 99%

“…Benign prostatic hyperplasia (BPH) is a noncancerous growth of the transitional zone of the prostate, which surrounds the prostatic urethra (Fig 1). Consequently, it can cause lower urinary tract symptoms (LUTS) and bladder outlet obstruction symptoms that may substantially reduce a patient's quality of life (1)(2)(3). LUTS can be divided into storage (irritative) and voiding (obstructive) symptoms (4).…”

Section: Introductionmentioning

confidence: 99%

“…LUTS can be divided into storage (irritative) and voiding (obstructive) symptoms (4). treatment, long waiting time for TURP or open surgery, contraindications to or patient refusal of surgery, urinary retention and indwelling Foley catheter, and hematuria originating from the prostate gland (3,15,16). In 2019, the Society of Interventional Radiology published a "Multisociety Consensus Position Statement on Prostatic Artery Embolization for Treatment of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia" (17) (Table 1).…”

Section: Introductionmentioning

confidence: 99%

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Prostatic Artery Embolization: Indications, Preparation, Techniques, Imaging Evaluation, Reporting, and Complications

Dias¹,

Moura²,

Viana³

et al. 2021

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Benign prostatic hyperplasia (BPH) is a noncancerous growth of the transitional zone of the prostate, which surrounds the prostatic urethra. Consequently, it can cause lower urinary tract symptoms (LUTS) and bladder outlet obstruction symptoms that may substantially reduce a patient's quality of life. Several treatments are available for BPH, including medications such as α-blockers and 5α-reductase inhibitors and surgical options including transurethral resection of the prostate and prostatectomy. Recently, prostatic artery embolization (PAE) has emerged as a minimally invasive treatment option for selected men with BPH and moderate to severe LUTS. Adequate pre-and postprocedural evaluations with clinical examinations and questionnaires, laboratory tests, and urodynamic and imaging examinations (particularly US, MRI, and CT) are of key importance to achieve successful treatment. Considering that the use of PAE has been increasing in tertiary hospital facilities, radiologists and interventional radiologists should be aware of the main technical concepts of PAE and the key features to address in imaging reports in pre-and postprocedural settings.

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Prostatic Artery Embolization for Benign Prostatic Hyperplasia: Patient Evaluation, Anatomy, and Technique for Successful Treatment

Abstract: ■ Describe the clinical evaluation of and treatment options for benign prostatic hyperplasia. ■ Identify the pelvic arterial anatomy relevant to PAE. ■ Discuss the published outcomes after PAE.

Cited by 48 publications

References 85 publications

Safety and efficacy of prostatic artery embolization for large benign prostatic hyperplasia in elderly patients

Safety and efficacy of prostatic artery embolization for large benign prostatic hyperplasia in elderly patients

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

Prostatic Artery Embolization: Indications, Preparation, Techniques, Imaging Evaluation, Reporting, and Complications

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