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Updated: Jan 25, 2026

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
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[Prostatic artery embolisation for symptomatic BPH].

Marc Sapoval1, Charles Dariane2, Olivier Pellerin1

  • 1HEGP, radiologie interventionnelle vasculaire et oncologique, 75908 Paris, France.

Presse Medicale (Paris, France : 1983)
|May 4, 2019
PubMed
Summary
This summary is machine-generated.

Benign Prostatic Hyperplasia (BPH) affects many older men. Prostatic Artery Embolisation offers a safe, effective alternative to surgery for BPH, with fewer complications.

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Area of Science:

  • Urology
  • Interventional Radiology

Background:

  • Benign Prostatic Hyperplasia (BPH) affects over 50% of men older than 60, causing lower urinary tract symptoms.
  • Medical treatments include alpha blockers (AB), 5-alpha reductase inhibitors (5ARI), and phosphodiesterase inhibitors.
  • Surgical options are considered for treatment-resistant or poorly tolerated cases, following Bladder Outlet Obstruction (BOO) evaluation.

Purpose of the Study:

  • To introduce Prostatic Artery Embolisation (PAE) as a novel alternative for BPH management.
  • To evaluate the safety and efficacy of PAE in relieving BPH symptoms and BOO.

Main Methods:

  • PAE is an outpatient procedure performed by Interventional Radiologists.
  • It involves super-selective embolisation of both prostatic arteries using calibrated micro-particles.
  • Access is gained via femoral artery puncture.

Main Results:

  • PAE is a safe and efficient treatment for BPH.
  • The procedure provides significant symptomatic improvement for BPH-related BOO.
  • It avoids common surgical complications like retrograde ejaculation.

Conclusions:

  • PAE is a viable alternative to traditional surgery for BPH.
  • It offers effective relief from BPH symptoms and BOO with a favorable safety profile.
  • This minimally invasive option is particularly beneficial for patients seeking to preserve fertility and sexual function.