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Updated: May 16, 2026

Focal Laser Ablation of Prostate Cancer: An Office Procedure

Focal Laser Ablation of Prostate Cancer: An Office Procedure

Published on: March 30, 2021

Patient selection and counseling before prostatic arterial embolization.

José A Pereira¹, Tiago Bilhim, Marisa Duarte

¹Interventional Radiology Department, Saint Louis Hospital, Lisbon, Portugal.

Techniques in Vascular and Interventional Radiology

|December 19, 2012

Summary

Prostatic arterial embolization (PAE) is an experimental treatment for prostate enlargement (PE) and benign prostatic hyperplasia (BPH) with promising results. Careful patient selection is crucial for successful outcomes in this minimally invasive procedure.

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Published on: November 7, 2025

Area of Science:

Interventional Radiology
Urology
Medical Devices

Background:

Prostate enlargement (PE) and benign prostatic hyperplasia (BPH) cause lower urinary tract symptoms (LUTS).
Current treatments for LUTS include medical therapy and surgery.
Prostatic arterial embolization (PAE) is an emerging, minimally invasive treatment option.

Purpose of the Study:

To define patient selection criteria for Prostatic Arterial Embolization (PAE).
To optimize outcomes for PAE in patients with LUTS due to PE or BPH.
To highlight the importance of pre-procedural evaluation for PAE.

Main Methods:

Patient evaluation workflow including inclusion and exclusion criteria.
Inclusion criteria: Male, age >40, prostate volume >30 cm³, moderate to severe LUTS refractory to medical treatment or acute urinary retention.
Exclusion criteria: Malignancy, large bladder diverticula/stones, chronic renal failure, severe arterial atherosclerosis, active UTI, unregulated coagulation.

Main Results:

Approximately one-third of initially consulted patients meet PAE selection criteria.
PAE offers a minimally invasive approach with potentially rapid recovery.
Informed consent process emphasizes the investigational nature and uncertain outcomes of PAE.

Conclusions:

Rigorous patient selection is paramount for successful Prostatic Arterial Embolization (PAE).
PAE is a promising, minimally invasive treatment for LUTS in PE/BPH patients.
The experimental nature and potential outcomes of PAE must be thoroughly discussed with patients.