CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S8
DOI: 10.1055/s-0041-1730667
Abstract

Short-Term Outcome of Prostate Artery Embolization for Begin Prostatic Hyperplasia at Prince Sultan Military Medical City, Riyadh

Alrashidi,
I Ibrahim Awadh
Prince Sultan Military Medical City, Riyadh, Saudi Arabia
,
Fares Garad
Prince Sultan Military Medical City, Riyadh, Saudi Arabia
,
Faisal Alahmari
Prince Sultan Military Medical City, Riyadh, Saudi Arabia
,
Sultan Alammari
Prince Sultan Military Medical City, Riyadh, Saudi Arabia
,
Abdulaziz Almat’hami
Prince Sultan Military Medical City, Riyadh, Saudi Arabia
,
Hatim Alobaidi
Prince Sultan Military Medical City, Riyadh, Saudi Arabia
› Author Affiliations

Background: Prostatic artery embolization (PAE) is emerging minimally invasive treatment for begin prostatic hyperplasia (BPH). Till now, it carries some cons and some pros as the variable options of BPH management. We report our short-term outcome for this procedure. Methods: From our early experience in applying PAE as one of the treatment options for BPH in selected cases started from October 2015 to October 2017. We review the patient presentation, preoperative prostate size, symptoms score, uroflow finding, patient welling, and patient comorbidities. Patients included in the study after full explanation of all BPH management options. We recommend it to the patients with multiple comorbidities and have a high anesthetic risk. Then, we showed the follow-up excluding missed follow-up patients and analysis of these results. Results: We had 17 patients with a mean age of 74.6 years. Patients with multiple comorbidities found in 15 of them and ten patients have high anesthetic risks (American Society of Anesthesiologists score 3). Five patients requested this management for fertility issue and worried about the retrograde ejaculation. All patients have smooth postoperative without significant complications. During follow-up, one patient developed a prostatic abscess managed by transurethral drainage. Another two patients developed retention post embolization and trial catheter removal failed. One patient was managed by transurethral resection of the prostate and found to have large median lobe. The other one still on an indwelling catheter. Two patients need remobilization for regaining symptoms. Twelve (70.5%) patients have shown improvement in the International Prostatic Symptom Score by 5–10 points and decreased the prostate size by 10–47 g on follow-up ultrasound. The average flow rate increased to a range 9–14 ml/s. Conclusion: Prostatic artery embolization is safe and effective for selected cases and need to be tailored to the patient condition. Long-term follow up is recommended.



Publication History

Article published online:
11 May 2021

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