Prostatic Artery Embolization as a Primary Treatment for Benign Prostatic Hyperplasia: Preliminary Results in Two Patients

• DOI: 10.1007/s00270-009-9727-z
• Publication Date: 2009-11-11T19:30:42Z
• Authors: Francisco Cesar C...; Alberto Azoubel A...; Joaquim Mauricio ...; Luciana Mendes de...; Ronaldo Hueb Baroni; Antonio Sergio Za...; Geraldo Campos Fr...; Airton Mota Moreira; Miguel Srougi; Giovanni Guido Cerri
• Keywords: Urinary retention; Nocturia; Rectal examination; Prostate biopsy

Symptomatic benign prostatic hyperplasia (BPH) typically occurs in the sixth and seventh decades, most frequent obstructive urinary symptoms are hesitancy, decreased stream, sensation of incomplete emptying, nocturia, frequency, urgency. Various medications, specifically 5-alpha-reductase inhibitors selective alpha-blockers, can decrease severity secondary to BPH, but prostatectomy is still considered be traditional method management. We report preliminary results for two patients with acute retention due successfully treated by prostate artery embolization (PAE). The were investigated using International Prostate Symptom Score, digital rectal examination, urodynamic testing, biopsy, transrectal ultrasound (US), magnetic resonance imaging (MRI). Uroflowmetry postvoid residual urine volume complemented investigation at 30, 90, 180 days after PAE. procedure was performed under local anesthesia; arteries a microcatheter 300- 500-microm microspheres complete stasis as end point. One patient subjected bilateral PAE other unilateral PAE; they urinated spontaneously removal urethral catheter, 15 10 procedure, respectively. At 6-month follow-up, US MRI revealed reduction 39.7% 47.8%, respectively, 25.5 27.8%, submitted early results, BPH show promising potential alternative treatment