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Embolisation of prostatic arteries as treatment of moderate to severe lower urinary symptoms (LUTS) secondary to benign hyperplasia: results of short- and mid-term follow-up

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An Erratum to this article was published on 20 July 2013

Abstract

Objectives

To evaluate the short- and medium-term results of prostatic arterial embolisation (PAE) for benign prostatic hyperplasia (BPH).

Methods

This was a prospective non-randomised study including 255 patients diagnosed with BPH and moderate to severe lower urinary tract symptoms after failure of medical treatment for at least 6 months. The patients underwent PAE between March 2009 and April 2012. Technical success is when selective prostatic arterial embolisation is completed in at least one pelvic side. Clinical success was defined as improving symptoms and quality of life. Evaluation was performed before PAE and at 1, 3, 6 and every 6 months thereafter with the International Prostate Symptom Score (IPSS), quality of life (QoL), International Index of Erectile Function (IIEF), uroflowmetry, prostatic specific antigen (PSA) and volume. Non-spherical polyvinyl alcohol particles were used.

Results

PAE was technically successful in 250 patients (97.9 %). Mean follow-up, in 238 patients, was 10 months (range 1–36). Cumulative rates of clinical success were 81.9 %, 80.7 %, 77.9 %, 75.2 %, 72.0 %, 72.0 %, 72.0 % and 72.0 % at 1, 3, 6, 12, 18, 24, 30 and 36 months, respectively. There was one major complication.

Conclusions

PAE is a procedure with good results for BPH patients with moderate to severe LUTS after failure of medical therapy.

Key Points

• Prostatic artery embolisation offers minimally invasive therapy for benign prostatic hyperplasia.

• Prostatic artery embolisation is a challenging procedure because of vascular anatomical variations.

• PAE is a promising new technique that has shown good results.

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Abbreviations

BPH:

benign prostatic hyperplasia

PAE:

prostatic artery embolisation

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Conflict of interest

There is no funding or potential conflicts of interest for the authors regarding this article. The corresponding authors confirm that they have full access to all the data in this study and have final responsibility for the decision to submit for publication. All authors had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

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Authors and Affiliations

  1. Interventional Radiology, Saint Louis Hospital, Lisbon, Portugal

    Joao Martins Pisco, Hugo Rio Tinto, Tiago Bilhim, Marisa Duarte & Lúcia Fernandes

  2. Radiology Department, Hospital de São José, Lisbon, Portugal

    Hugo Rio Tinto, Tiago Bilhim & Lúcia Fernandes

  3. Radiology Department, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal

    Hugo Rio Tinto & Tiago Bilhim

  4. Urology Department, Hospital de São José, Lisbon, Portugal

    Luís Campos Pinheiro

  5. Urology Department, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal

    Luís Campos Pinheiro

  6. Radiology Department, Hospital Santo António dos Capuchos, Lisbon, Portugal

    José Pereira

  7. Saint Louis Hospital, Interventional Radiology, Lisbon, Portugal

    José Pereira

  8. Biostatistics Department, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal

    António G. Oliveira

Authors
  1. Joao Martins Pisco
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  2. Hugo Rio Tinto
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  3. Luís Campos Pinheiro
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  4. Tiago Bilhim
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  5. Marisa Duarte
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  6. Lúcia Fernandes
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  7. José Pereira
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  8. António G. Oliveira
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Corresponding author

Correspondence to Hugo Rio Tinto.

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Pisco, J.M., Rio Tinto, H., Campos Pinheiro, L. et al. Embolisation of prostatic arteries as treatment of moderate to severe lower urinary symptoms (LUTS) secondary to benign hyperplasia: results of short- and mid-term follow-up. Eur Radiol 23, 2561–2572 (2013). https://doi.org/10.1007/s00330-012-2714-9

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  • DOI: https://doi.org/10.1007/s00330-012-2714-9

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