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Reasons to consider prostatic artery embolization.

Dominik Abt1, Hans-Peter Schmid2, Mark J Speakman3

  • 1Department of Urology, School of Medicine, University of St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland. s.dominik.abt@gmail.com.

World Journal of Urology
|February 11, 2021
PubMed
Summary
This summary is machine-generated.

Prostatic artery embolization (PAE) offers a minimally invasive treatment for lower urinary tract symptoms (LUTS) due to benign prostatic obstruction (BPO). While less effective than surgery long-term, its safety profile makes it a valuable option for select patients.

Keywords:
Benign prostatic hyperplasiaLower urinary tract symptomsMinimally-invasive treatmentProstate embolizationProstatic artery embolization

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Area of Science:

  • Interventional Radiology
  • Urology
  • Minimally Invasive Therapies

Background:

  • Prostatic artery embolization (PAE) is an emerging minimally invasive treatment for LUTS/BPO.
  • International guidelines now support PAE based on growing evidence.

Purpose of the Study:

  • To provide an overview of PAE's profile using recent literature.
  • To evaluate PAE's efficacy, safety, and advantages compared to other treatments.

Main Methods:

  • A comprehensive literature review was performed.
  • Searches were conducted on PubMed-Medline.
  • Relevant literature was summarized narratively.

Main Results:

  • Short- to mid-term efficacy and safety data are available; long-term data is limited.
  • PAE offers less pronounced obstruction relief than resective surgery, potentially leading to higher re-intervention rates.
  • Advantages include a favorable safety profile, local anesthesia, ability to continue anticoagulants, and no upper prostate size limit.

Conclusions:

  • PAE is a valuable addition to the LUTS/BPH treatment options.
  • Appropriate patient selection is crucial for successful PAE outcomes.