Abstract
2027 URODINAMYC FINDINGS AFTER PROSTATIC ARTERY EMBOLIZATION FOR TREATMENT OF URINARY RETENTION RELATED TO BENIGN PROSTATIC HYPERPLASIA
The Journal of urology, Vol.187(4S), pp.e818-e818
04/2012
DOI: 10.1016/j.juro.2012.02.2190
Abstract
INTRODUCTION AND OBJECTIVES
Prostatic artery embolization (PAE) has emerged as an option for treatment of lower urinary tract symptoms (LUTS) related to benign prostatic hyperplasia (BPH). Here we describe the urodynamic findings after PAE in 11 patients with urinary retention due to BPH.
METHODS
We performed a prospective study including 11 patients with acute urinary retention (AUR) due to BPH who were waiting for surgical treatment. Patients underwent physical examination, PSA measurement, transrectal US and MRI. International Prostate Symptom Score (IPSS), QoL and urodynamic testing were used to assess the outcome. PAE was performed under local anesthesia through the femoral artery. Urodynamic analysis were performed after a median 12 months (1–15) follow-up period. Ages ranged from (59 to 78, median 68.5 years) and prostate size ranged from 30-90 grams (median 72 grams).
RESULTS
Twelve PAE procedures using 300-500ìm Embosphere® Microspheres were performed in 11 patients, and clinical success (catheter removal and symptoms improvement) was 91% (10/11 patients). Patients urinated spontaneously from 4-25 days (mean, 12.1) after catheter removal. Urodynamic findings after PAE showed that maximum bladder capacity and maximum flow rates improved significantly. Bladder complacence and post-void residual (PVR) volume improved with marginally significant results. An overactive bladder was found in 63 and 45% of cases pre and post-PAE respectively (table). Bladder outlet obstruction index (BOOI) showed values > 40 in 100% of cases pre-embolization. After PAE, only 36% of cases were > 40, 27% were between 20 and 40, and 36% were < 20 (graphic).
CONCLUSIONS
PAE is an effective method for treatment of AUR due to BPH. Most urodynamic parameters are improved after treatment and a BOOI < 40 can be observed in 76% of cases.
Details
- Title: Subtitle
- 2027 URODINAMYC FINDINGS AFTER PROSTATIC ARTERY EMBOLIZATION FOR TREATMENT OF URINARY RETENTION RELATED TO BENIGN PROSTATIC HYPERPLASIA
- Creators
- Alberto A. Antunes - Sao Paulo, BrazilFrancisco Carnevale - Sao Paulo, BrazilEduardo Muracca - Sao Paulo, BrazilJoaquim Motta_leal_Filho - Sao Paulo, BrazilSabrina Reis - Sao Paulo, BrazilLuciana Cerri - Sao Paulo, BrazilRonaldo Baroni - Sao Paulo, BrazilAntônio Marcelino - Sao Paulo, BrazilGeraldo Campos Freire - Sao Paulo, BrazilGiovanni Cerri - Sao Paulo, BrazilMiguel Srougi - Sao Paulo, Brazil
- Resource Type
- Abstract
- Publication Details
- The Journal of urology, Vol.187(4S), pp.e818-e818
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- DOI
- 10.1016/j.juro.2012.02.2190
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Language
- English
- Date published
- 04/2012
- Academic Unit
- Radiology
- Record Identifier
- 9984700452402771
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