Early Experience and Outcomes of Prostate Artery Embolization (PAE) Services in a Tertiary Referral

Introduction: PAE represents a safe and effective option for management of patients with moderate to severe LUTS, especially patients with large prostates who are not ideal surgical candidates. We aim to evaluate the safety, morbidity, and functional outcomes after PAE.

Method(s): Single institution prospective study of PAE procedures. Clinical information and outcome data were retrieved from the hospital radiology information system and electronic medical records. A total of 31 consecutive patients with age range between 57 to 87 years were assessed. Of these 29/31 (93%) had technically successful embolization. Mean peak skin dose was 1,178 mGy and mean fluoroscopy time was 30.2 minutes.

Result(s): In the catheterized subgroup, successful TWOC was achieved in 8/11 (72.7%) and they remained catheter free at 12 months. In the noncatheterized group (19 patients), 3 were lost to follow-up. In addition, 13/16 (81%) had improvement in ICIQ-MLUTS scores (>30% from baseline) at 6-month follow-up and also symptom improvement.

Conclusion(s): As a tertiary center providing PAE service, we performed exceedingly well with good technical success and no major procedure related complication. We had good clinical success in catheterized subgroup.

Publication History

Article published online:
09 February 2023