EFFICACY OF UNILATERAL PROSTATIC ARTERY EMBOLIZATION IN TREATMENT OF BENIGN PROSTATIC HYPERPLASIA

Abstract

Background: Prostatic artery embolization is a minimally invasive, image guided therapy, that has been
shown to be safe and effective in symptomatic relief of LUTS associated with BPH with minimal post
procedural complications. It is a safer choice as compared to the usual surgical procedures used in this case
with comparable results. Technical success is considered when selective prostatic arterial catheterization
and embolization is achieved on at least one pelvic side. Sometimes cases can only undergo unilateral
prostatic artery embolization due to marked tortuosity or atherosclerotic changes preventing bilateral
prostatic artery catheterization. The aim of this study is to evaluate efficacy of unilateral prostatic artery
embolization in management of benign prostatic hyperplasia presented with clinically significant lower
urinary tract symptoms. In our study unilateral prostatic artery embolization was performed on 7 patients
with benign prostatic hyperplasia patients, (mean age of 67.7 years (range 58 - 80 years). The mean
prostatic volume measured was 80.29 ml (range 52-122 ml). The mean score of lower urinary tract
symptoms were IPSS = 21.67 and QOL = 4.86 (with range of IPSS 18-29 and QOL 4-6). One of them
complained of urinary retention and had and an indwelling catheter 4 months before procedure. The mean
prostatic volume measured was 80.29 ml (range 52-122 ml). The mean score of lower urinary tract
symptoms were IPSS = 21.67 and QOL = 4.86 (with range of IPSS 18-29 and QOL 4-6).