Medium- And Long-Term Outcome Of Prostate Artery Embolization For BPH: Results In 630 Patients

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Medium- and Long-Term Outcome of Prostate Artery Embolization for Patients with Benign Prostatic Hyperplasia: Results in 630 Patients

Article in Journal of vascular and interventional radiology: JVIR 27(8) · June 2016 with 188 Reads

Abstract
To confirm that prostatic artery embolization (PAE) has a positive medium- and long-term effect in symptomatic benign prostatic hyperplasia (BPH). Between March 2009 and October 2014, 630 consecutive patients with BPH and moderate-to-severe lower urinary tract symptoms refractory to medical therapy for at least 6 months or who refused any medical therapy underwent PAE. Outcome parameters were evaluated at baseline; 1, 3, and 6 months; every 6 months between 1 and 3 years; and yearly thereafter up to 6.5 years. Mean patient age was 65.1 years ± 8.0 (range, 40–89 y). There were 12 (1.9%) technical failures. Bilateral PAE was performed in 572 (92.6%) patients and unilateral PAE was performed in 46 (7.4%) patients. The cumulative clinical success rates at medium- and long-term follow-up were 81.9% (95% confidence interval [CI], 78.3%–84.9%) and 76.3% (95% CI, 68.6%–82.4%). There was a statistically significant (_P_ < .0001) change from baseline to last observed value in all clinical parameters: International Prostate Symptom Score (IPSS), quality-of-life (QOL), prostate volume, prostate-specific antigen, urinary maximal flow rate, postvoid residual, and International Index of Erectile Function. There were 2 major complications without sequelae. PAE had a positive effect on IPSS, QOL, and all objective outcomes in symptomatic BPH. The medium- (1–3 y) and long-term (> 3–6.5 y) clinical success rates were 81.9% and 76.3%, with no urinary incontinence or sexual dysfunction reported.

Source: https://www.researchgate.net/public...Prostatic_Hyperplasia_Results_in_630_Patients


See here for all studies: https://www.researchgate.net/scientific-contributions/46532827_Joao_Martins_Pisco
 
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