Quality of Life and Clinical Symptom Improvement Support Prostatic Artery Embolization for Patients with Acute Urinary Retention Caused by Benign Prostatic Hyperplasia

Francisco C. Carnevale; Joaquim M. da Motta-Leal-Filho; Alberto A. Antunes; Ronaldo H. Baroni; Antonio S. Z. Marcelino; Luciana M. O. Cerri; Eduardo M. Yoshinaga; Giovanni G. Cerri; Miguel Srougi

doi:10.1016/j.jvir.2012.12.019

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Quality of Life and Clinical Symptom Improvement Support Prostatic Artery Embolization for Patients with Acute Urinary Retention Caused by Benign Prostatic Hyperplasia

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Quality of Life and Clinical Symptom Improvement Support Prostatic Artery Embolization for Patients with Acute Urinary Retention Caused by Benign Prostatic Hyperplasia

Francisco C. Carnevale, Joaquim M. da Motta-Leal-Filho, Alberto A. Antunes, Ronaldo H. Baroni, Antonio S. Z. Marcelino, Luciana M. O. Cerri, Eduardo M. Yoshinaga, Giovanni G. Cerri and Miguel Srougi

Journal of vascular and interventional radiology, Vol.24(4), pp.535-542

04/01/2013

DOI: 10.1016/j.jvir.2012.12.019

PMID: 23434084

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Abstract

Purpose: To show that prostatic artery embolization (PAE) improves quality of life (QoL) and lower urinary tract symptoms in patients with acute urinary retention caused by benign prostatic hyperplasia (BPH). Materials and Methods: This was a single-center prospective study of PAE in 11 patients with BPH managed With indwelling. urinary catheters. International Prostate Symptom Score (IPSS), ultrasound, magnetic resonance (MR) imaging, QoL, and urodynamic tests were used. to assess outcomes. Prostate size ranged from 30 to 90 g, and embolizations were performed with 300-500-mu m Embosphere microspheres. Results: The rate of technical success (ie, bilateral PAE) was 75%, and the rate of clinical success (ie, catheter removal and symptom improvement) was 91% (10 of 11 patients). Postembolization syndrome manifested as mild pain in the perineum, retropubic area, and/or urethra. Ten of 11 patients urinated spontaneously after Foley catheter removal 4-25 days after PAE (mean, 12.1 d). No major complications Were observed. Follow-up ranged from 19 to 48 months. than asymptomatic patient, a discrete area of hypoperfusion: suggesting small ischemia of the bladder was observed on 30-day MR imaging follow-up, but the bladder was normal on 90-day MR imaging. After 1 year, mean prostate volume reduction was greater than 30%, symptoms were mild (mean IPSS, 2.8 +/- 2.1; P = .04),. no erectile dysfunction was observed, and QoL,improved significantly (mean , 0.4 +/- 0.5; P = .001) using the paired t test. Conclusions: Patients with severe symptoms and acute urinary retention caused by BPH can be treated Safely by PAE, which improves clinical symptoms and QoL.

Cardiovascular System & Cardiology

Life Sciences & Biomedicine

Peripheral Vascular Disease

Radiology, Nuclear Medicine & Medical Imaging

Science & Technology

Details

Title: Subtitle: Quality of Life and Clinical Symptom Improvement Support Prostatic Artery Embolization for Patients with Acute Urinary Retention Caused by Benign Prostatic Hyperplasia
Creators: Francisco C. Carnevale - Universidade de São Paulo
Joaquim M. da Motta-Leal-Filho - Universidade de São Paulo
Alberto A. Antunes - Universidade de São Paulo
Ronaldo H. Baroni - Universidade de São Paulo
Antonio S. Z. Marcelino - Universidade de São Paulo
Luciana M. O. Cerri - Universidade de São Paulo
Eduardo M. Yoshinaga - Universidade de São Paulo
Giovanni G. Cerri - Universidade de São Paulo
Miguel Srougi - Universidade de São Paulo
Resource Type: Journal article
Publication Details: Journal of vascular and interventional radiology, Vol.24(4), pp.535-542
DOI: 10.1016/j.jvir.2012.12.019
PMID: 23434084
NLM abbreviation: J Vasc Interv Radiol
ISSN: 1051-0443
eISSN: 1535-7732
Publisher: Elsevier
Number of pages: 8
Language: English
Date published: 04/01/2013
Academic Unit: Radiology
Record Identifier: 9984697623502771

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