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Updated: Aug 30, 2026
Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser
Published on: May 5, 2020
Reintervention Through Five Years After Prostatic Artery Embolization for Benign Prostatic Hyperplasia: A National
Tarub S Mabud1, Abin Sajan1, Ricardo Azevedo2
1Department of Radiology, Division of Vascular and Interventional Radiology, Columbia University Irving Medical Center, New York, NY, USA.
Purpose:
To evaluate reintervention patterns after prostatic artery embolization (PAE) for benign prostatic hyperplasia (BPH) using a U.S. claims database.
Materials And Methods:
This retrospective cohort study used the MarketScan Commercial and Medicare Databases (2017-2025) to identify men aged ≥50 years who underwent PAE as their first BPH procedure. The primary outcome was time to first BPH-directed reintervention of any type. Cumulative incidence at 1, 3, and 5 years was estimated using Kaplan-Meier methods; cumulative incidence by reintervention type was estimated using Aalen-Johansen methods. Multivariable Cox proportional hazards regression assessed associations between patient characteristics and reintervention hazard.
Results:
959 patients (median age 68 years, IQR 61-77; 55% Medicare) underwent index PAE for BPH. The cumulative incidence of any reintervention was 7.5% (95% CI 5.4-9.5) at 1 year, 17.1% (12.7-21.2) at 3 years, and 25.8% (16.2-34.3) at 5 years (numbers at risk: 455, 107, 23, respectively). Transurethral resection of the prostate (TURP) was the most common reintervention (n=28, 34.6% of reinterventions), followed by laser enucleation (n=13, 16.0%), repeat PAE (n=12, 14.8%), and laser vaporization (n=11, 13.6%). The 5-year cumulative incidence of TURP-specific reintervention was 9.1% (4.92-16.86), highest among reintervention types. No predictor for reintervention was statistically significant in multivariable Cox regression.
Conclusions:
5-year reintervention rates after PAE for BPH in routine U.S. practice were comparable to those reported in specialized academic centers and trial settings. TURP accounted for the largest share of reinterventions after PAE. These findings are relevant for patient counseling and motivate further PAE technique optimization to improve treatment durability.
