Prostate Artery Embolization - Adverse Events and Peri-Procedural Management.

Area of Science:

• Interventional Radiology
• Urology
• Vascular Medicine

Background:

• Benign prostatic hyperplasia (BPH) affects a significant portion of the aging male population.
• Lower urinary tract symptoms (LUTS) are a common manifestation of BPH.
• Prostate artery embolization (PAE) is an emerging minimally invasive treatment option for BPH.

Purpose of the Study:

• To review the incidence, presentation, and management of adverse events following PAE.
• To enhance operator understanding of potential complications associated with PAE.
• To provide guidance for patient selection, preparation, and post-procedural care.

Main Methods:

• Literature review of studies reporting adverse events after PAE.
• Analysis of reported complication rates and types.
• Synthesis of current management strategies for PAE-related adverse effects.

Main Results:

• PAE is generally considered safe with a low overall complication rate.
• Reported adverse events include post-embolization syndrome, urinary tract infection, and non-target embolization.
• Most adverse events are transient and manageable with conservative treatment.

Conclusions:

• Operator awareness of PAE adverse events is essential for optimal patient outcomes.
• Careful patient selection and procedural technique can minimize complication risks.
• Effective management strategies are available for recognized PAE-related complications.