Meta-Analysis of Prostatic Artery Embolization for Benign Prostatic Hyperplasia

Uflacker, Andre; Haskal, Ziv J.; Bilhim, Tiago; Patrie, James T.; Huber, Timothy C.; Pisco, João Martins

doi:10.1016/j.jvir.2016.08.004

Cited by 137 publications

(113 citation statements)

References 34 publications

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“…In our own patients, we have not observed this complication since the periinterventional administration of non-steroidal antirheumatic drugs in an antiphlogistic dose. Further minor complications of PAE described in the literature in descending order of frequency are post-embolization syndrome (4 %), hematuria (3.4 %), urinary tract infections (2.7 %), increase in urge symptoms (2.0 %), hematospermia (0.7 %), transient rectal bleeding (0.7 %), transient ischemia of the pubic bone (0.7 %), and transient pelvic pain (0.7 %) [16,24].…”

Section: Complicationsmentioning

confidence: 99%

Prostate Artery Embolization: Indication, Technique and Clinical Results

Teichgräber

Aschenbach

Diamantis

et al. 2018

Fortschr Röntgenstr

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ABSTR AC T Background Prostate artery embolization (PAE) is a new embolization therapy to treat benign prostate syndrome (BPS). Materials and MethodsThis review article presents the rationale and impact mechanism of PAE, criteria for patient selection, and discusses the anatomy of prostate arteries. The study results are seen in the context of complications and clinical partners.Results Important preconditions for successful prostate artery embolization are a strict indication, precise knowledge of the anatomy of the pelvic arteries and advanced interventional-radiological skills. Several studies showed that urological parameters after prostate artery embolization improve at a similar level as for established post-surgical treatments. At the same time, it could be proven that prostate artery embolization has no impact on erectile function and is associated with a relatively low complication rate.Conclusion PAE is increasingly developing to an alternative for the established surgical treatments in BPS patients. Key Points▪ PAE is a new embolization method for treating BPS and represents an alternative to classic urological surgical procedure such as TURP. ▪ Due to the low caliber of the prostate artery (0.5 -2 mm), the presence of anatomical variations, and the arteriosclerosis seen in most older men, PAE is a technically challenging embolization method. ▪ In patients with a high postoperative bleeding risk in classic urological surgical treatment concepts, PAE is a very gentle alternative method. Citation

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Section: Complicationsmentioning

confidence: 99%

Prostate Artery Embolization: Indication, Technique and Clinical Results

Teichgräber

Aschenbach

Diamantis

et al. 2018

Fortschr Röntgenstr

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show abstract

“…The broad range of post-procedural minor events-such as a higher urinary frequency, hematospermia, urinary tract infections and balanitis, haematuria, dysuria, rectal bleeding, AUR, inguinal hematoma, etc.-more often includes self-limiting diseases, with the advantage of restricting transurethral procedure-related complications as bleeding, sexual dysfunction and dilutional hyponatremia (43). The overall incidence is estimated to be around 30% (51).…”

Section: Complicationsmentioning

confidence: 99%

“…The bladder ischemia, rarely described as a postprocedural event, is the main major complication reported until now (51). It is a necrosis and desquamation of the bladder wall that, when localised, requires surgical cystoscopy removal 1 month after PAE without need for bladder reconstruction.…”

Section: Complicationsmentioning

confidence: 99%

State of the art of prostatic arterial embolization for benign prostatic hyperplasia

et al. 2018

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Prostatectomy via open surgery or transurethral resection of the prostate (TURP) is the standard treatment for benign prostatic hyperplasia (BPH). Several patients present contraindication for standard approach, individuals older than 60 years with urinary tract infection, strictures, post-operative pain, incontinence or urinary retention, sexual dysfunction, and blood loss are not good candidates for surgery. Prostatic artery embolization (PAE) is emerging as a viable method for patients unsuitable for surgery. In this article, we report results about technical and clinical success and safety of the procedure to define the current status.

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“…Özellikle çok büyük hacimli prostatı ya da median lob hipertrofisi olan hastalarda işlemden sonra akut üriner retansiyon görülebilir (%7-9).Bu durumda hasta sondalanmalı ve 3-5 gün sonda ile takip edilmelidir. Literatürdeki tüm çalışmalarda işlem sonrası üriner retansiyon geliştiren tüm hastalarda 1. haftada spontan idrar çıkışı gözlemlenmiştir [47][48][49][50].…”

Section: İstenmeyen Etkiler Ve Komplikasyonlarunclassified

“…Hayatı tehdit edici majör komplikasyon şu ana kadar literatürde bildirilmemiştir. Bunun dışında da erektil disfonksiyon ya da retrograd ejakü-lasyon hiçbir seride tanımlanmamıştır [48][49][50][51][52][53].…”

Section: İstenmeyen Etkiler Ve Komplikasyonlarunclassified