Prostatic artery embolization

Changed by Yuranga Weerakkody, 6 Sep 2014

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Prostatic artery embolization (PAE) is a~~minimally~~ minimally invasive procedure option utilized to treat the benign prostatic hyperplasia (BPH).

Transuretheral resection of prostate (TURP) ishas been the surgical procedure of choice for BPH treatment when medical therapy fails to~~control~~ control its symptoms. This procedure still fails in up to 3-15% of cases which will require a surgical resection. TURP is also associated with complications such as sexual impotence, needs for transfusion, acute urinary incontinence, urinary retention (by clots) or sepsis^{^1,2-2.}

PAE has been proposed in order to avoid such complications. The idea is to promote a~~rtery~~artery embolization in order to cut the blood supply to prostate, leading to shrinking of the tissue. The procedure has been considered successful in animal models and has been tried with success on humans^3,4-4.

-Prostatic artery embolization (PAE) is a minimally invasive procedure option utilized to treat the <a title="benign prostatic hyperplasia" href="/articles/benign-prostatic-hyperplasia">benign prostatic hyperplasia (BPH)</a>. Transuretheral resection of prostate (TURP) is the surgical procedure of choice for BPH treatment when medical therapy fails to control its symptoms. This procedure still fails in up to 3-15% of cases which will require a surgical resection. TURP is also associated with complications such as sexual impotence, needs for transfusion, acute urinary incontinence, urinary retention (by clots) or sepsis1,2. PAE has been proposed in order to avoid such complications. The idea is to promote artery embolization in order to cut the blood supply to prostate, leading to shrinking of the tissue. The procedure has been considered successful in animal models and has been tried with success on humans3,4.
+Prostatic artery embolization (PAE) is a minimally invasive procedure option utilized to treat the <a title="benign prostatic hyperplasia (BPH)." href="/articles/benign-prostatic-hypertrophy">benign prostatic hyperplasia (BPH)</a>. Transuretheral resection of prostate (TURP) has been the surgical procedure of choice for BPH treatment when medical therapy fails to control its symptoms. This procedure still fails in up to 3-15% of cases which will require a surgical resection. TURP is also associated with complications such as sexual impotence, needs for transfusion, acute urinary incontinence, urinary retention (by clots) or sepsis1-2. PAE has been proposed in order to avoid such complications. The idea is to promote artery embolization in order to cut the blood supply to prostate, leading to shrinking of the tissue. The procedure has been considered successful in animal models and has been tried with success on humans3-4.

References changed:

1. Sun F, Sánchez F, Crisóstomo V et al. Benign Prostatic Hyperplasia: Transcatheter Arterial Embolization as Potential Treatment--Preliminary Study in Pigs. Radiology. 2008;246(3):783-9. <a href="https://doi.org/10.1148/radiol.2463070647">doi:10.1148/radiol.2463070647</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/18223124">Pubmed</a>
2. Jeon G, Won J, Lee B et al. The Effect of Transarterial Prostate Embolization in Hormone-Induced Benign Prostatic Hyperplasia in Dogs: A Pilot Study. J Vasc Interv Radiol. 2009;20(3):384-90. <a href="https://doi.org/10.1016/j.jvir.2008.11.014">doi:10.1016/j.jvir.2008.11.014</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19157906">Pubmed</a>
1 - Rassweiler J, Teber D, Kuntz R et-al. Complications of transurethral resection of the prostate (TURP)-incidence, management, and prevention. Eur. Urol. 2006;50 (5): 969-79. <a href="http://dx.doi.org/10.1016/j.eururo.2005.12.042">doi:10.1016/j.eururo.2005.12.042</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/16469429">Pubmed citation</a>
2 - Rieken M, Bachmann A, Reich O. Re: High power diode laser vaporization of the prostate: preliminary results for benign prostatic hyperplasia A. Erol, K. Cam, A. Tekin, O. Memik, S. Coban And Y. Ozer J Urol 2009; 182: 1078-1082. J. Urol. 2010;183 (2): 828-9. <a href="http://dx.doi.org/10.1016/j.juro.2009.10.033">doi:10.1016/j.juro.2009.10.033</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/20022612">Pubmed citation</a>
3 - Sun F, Sánchez FM, Crisóstomo V et-al. Benign prostatic hyperplasia: transcatheter arterial embolization as potential treatment-preliminary study in pigs. Radiology. 2008;246 (3): 783-9. <a href="http://dx.doi.org/10.1148/radiol.2463070647">doi:10.1148/radiol.2463070647</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/18223124">Pubmed citation</a>
4 - Jeon GS, Won JH, Lee BM et-al. The effect of transarterial prostate embolization in hormone-induced benign prostatic hyperplasia in dogs: a pilot study. J Vasc Interv Radiol. 2009;20 (3): 384-90. <a href="http://dx.doi.org/10.1016/j.jvir.2008.11.014">doi:10.1016/j.jvir.2008.11.014</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/19157906">Pubmed citation</a>