Prostatic Artery Embolization for Benign Prostatic Hyperplasia Treatment: A Russian Multicenter Study in More Than...

Area of Science:

• Urology
• Interventional Radiology
• Geriatric Medicine

Background:

• Benign prostatic hyperplasia (BPH) is a prevalent genitourinary condition affecting aging men.
• Traditional transurethral resection of the prostate (TURP) carries risks of significant complications.
• Minimally invasive alternatives are sought to manage BPH effectively and safely.

Purpose of the Study:

• To evaluate the efficacy and safety of the PErFecTED technique for superselective prostatic artery embolization (PAE) in BPH patients.
• To assess long-term outcomes of PAE in terms of symptom improvement and quality of life.

Main Methods:

• Retrospective analysis of data from 1,015 BPH patients undergoing endovascular PAE using the PErFecTED technique.
• Assessment of International Prostate Symptom Score (IPSS) and Quality of Life (QoL) scores over a 24-month follow-up period.

Main Results:

• The PErFecTED technique demonstrated significant benefits for BPH patients over 24 months.
• Both IPSS and QoL scores improved approximately threefold in the PErFecTED group.
• Symptom improvement and quality of life benefits remained stable throughout the observation period.

Conclusions:

• The PErFecTED technique is an effective minimally invasive treatment for BPH, offering sustained symptom relief and improved quality of life.
• While beneficial, the PAE technique requires further refinement to mitigate the risk of postembolization syndrome.