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Semin intervent Radiol 2019; 36(02): 142-148
DOI: 10.1055/s-0039-1688431
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Prostate Artery Embolization

Samdeep Mouli
1   Department of Radiology, Section of Interventional Radiology, Northwestern University, Chicago, Illinois
,
Elias Hohlastos
1   Department of Radiology, Section of Interventional Radiology, Northwestern University, Chicago, Illinois
,
Riad Salem
1   Department of Radiology, Section of Interventional Radiology, Northwestern University, Chicago, Illinois
› Author Affiliations
Funding This study was funded by Northwestern Medicine.
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Publication History

Publication Date:
22 May 2019 (online)

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Benign prostatic hyperplasia (BPH) involves the proliferation of the transition zone of the prostate,[1] [2] with resultant bladder outlet obstruction (BOO) and lower urinary tract symptoms (LUTS; frequency, urgency, weak stream, nocturia). The prevalence increases with age, affecting 50% of men in their 50s, with symptoms degrading quality of life (QoL).[1] [2] Prostatic arterial embolization (PAE) is safe and effective, demonstrating high rates of technical success, improved urinary flow rates, and QoL.[3] [4]

PAE can be a technically challenging and time-consuming procedure, especially given the general age of this patient population and concomitant medical comorbidities. Early enthusiasm in the procedure was tempered by variable clinical and technical success rates.[5] [6] [7] [8] [9] These initial shortcomings were subsequently overcome by more standardization of techniques,[10] [11] and better understanding of patient selection and arterial anatomy.[3] [7] [12] [13] [14]

Utilizing this refined anatomical and procedural expertise, the goal of this article is to provide a standardized approach to PAE to overcome technical challenges described in the literature.