Efficacy of prostate artery embolization for benign prostatic hyperplasia with intravesical prostatic protrution
Main Article Content
Abstract
SUMMARY
Objective: To acess the results of prostatic artery embolization
(PAE) in patients wwith significant intravesical prostatic protrusion
(IPP).
Material and methods: Prospective analysis of 45 consecutive patients with significant IPP undergoing PAE. We measured IPP on sagittal T2-weighted images before and after PAE. IPSS and clinical results were also evaluated before and after PAE.
Results: PAE resulted in significant IPP reduction (16.9 ± 7.9mm before PAE and 13.2 ± 6.6mm after PAE, p < 0.001) (Fig. 1) with no complication. IPSS, quality of life (QoL), total prostate-specific antigen (PSA) level, and prostate volume (PV) showed significant reduction after PAE, and maximum urinary flow rate (Qmax) showed significant increase after PAE. A significant correlation was found between the IPP change and the IPSS change (r = 0.628, p = 0.001).
Conclusion: Patients had significant IPP reduction as well as significant symptomatic improvement after PAE, and these improvements were positively correlated.
Article Details
Keywords
Benign prostate hyperplasia, Intravesical prostatic protrusion, Prostate artery embolization (PAE)
References
1. Berry, S.J., et al., The development of human benign prostatic hyperplasia with age. The Journal of urology, 1984. 132(3): p. 474-479.
2. Bilhim, T., Prostatic Artery Embolization and the Median Lobe: Stuck in the Middle with You? Journal of vascular and interventional radiology: JVIR, 2019. 30(11): p. 1817.
3. Shin, S.H., et al., Defining the degree of intravesical prostatic protrusion in association with bladder outlet obstruction. Korean journal of urology, 2013. 54(6): p. 369-372.
4. Sigdel, G. and W. Belokar, Clinical significance of intravesical prostatic protrusion in patients with benign prostatic hyperplasia. Journal of Universal College of Medical Sciences, 2015. 3(1): p. 6-10.
5. Chia, S., et al., Correlation of intravesical prostatic protrusion with bladder outlet obstruction. BJU international, 2003. 91(4): p. 371-374.
6. Carnevale, F.C., A.M. Moreira, and A.A. Antunes, The “PErFecTED technique”: proximal embolization first, then embolize distal for benign prostatic hyperplasia. Cardiovascular and interventional radiology, 2014. 37(6): p. 1602-1605.
7. Lim, K.B., et al., Comparison of intravesical prostatic protrusion, prostate volume and serum prostatic‐specific antigen in the evaluation of bladder outlet obstruction. International journal of urology, 2006. 13(12): p. 1509- 1513.
8. Lee, L.S., et al., Intravesical prostatic protrusion predicts clinical progression of benign prostatic enlargement in patients receiving medical treatment. International journal of urology, 2010. 17(1): p. 69-74.
9. Lee, C.H. and H.K. Ha, Intravesical prostatic protrusion as a predictor of early urinary continence recovery after laparoscopic radical prostatectomy. International Journal of Urology, 2014. 21(7): p. 653-656.