Prostatic artery embolization for the treatment of symptomatic benign prostatic hyperplasia in men ≥75 years: a prospective single-center study

World Journal of Urology
Maoqiang WangKai Li

Abstract

To compare the safety and efficacy of PAE for the treatment of benign prostatic hyperplasia (BPH) in men ≥75 years, who we defined as elderly, to those <75 years. A total of 157 patients diagnosed with lower urinary tract symptoms (LUTS) due to BPH underwent PAE. Group A (n = 52) included patients ≥75 years, and group B (n = 105) included patients <75 years. Follow-up was performed using the International Prostate Symptoms Score (IPSS), quality of life (QoL), peak urinary flow rate (Q max), post-void residual volume (PVR), the International Index of Erectile Function short form (IIEF-5), prostatic-specific antigen (PSA), and prostate volume (PV), at 1, 3, 6, and every 6 months thereafter. More coexistent systemic diseases were identified in group A than in group B (P < 0.05). Technical success rate of PAE was 90.4 % in group A and 95.2 % in group B (P = 0.06). A total of 147 patients had completed the follow-up with a mean of 20 months. Compared with the baseline, there were significant improvements in IPSS, QoL, Q max, PV, PVR, and PSA in both groups after PAE. There were no significant differences in the changes of IPSS, Q max, PVR, PSA, and IIEF-5 between groups after PAE. No major complications were noted. PAE could be used...Continue Reading

References

Nov 15, 2011·European Urology·Dionysios MitropoulosUNKNOWN European Association of Urology Guidelines Panel
Aug 2, 2013·Cardiovascular and Interventional Radiology·Francisco C Carnevale, Alberto A Antunes
Nov 2, 2013·Journal of Vascular and Interventional Radiology : JVIR·Sandeep BaglaArina van Breda
Jul 6, 2014·Journal of Vascular and Interventional Radiology : JVIR·Justin P McWilliamsBoris Nikolic
Sep 24, 2014·La Radiologia medica·Maurizio GrossoGiuseppe Arena
May 8, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Maoqiang WangZhijun Wang
Aug 16, 2015·World Journal of Urology·Souhil LebdaiRomain Mathieu

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Citations

Dec 4, 2019·Cardiovascular and Interventional Radiology·Francois H CornelisFrancisco Cesar Carnevale
Jan 12, 2017·Cardiovascular and Interventional Radiology·Francisco Cesar CarnevaleAlberto Azoubel Antunes
Apr 28, 2019·Diagnostics·Brian MallingMartin Andreas Røder

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