Publication
Unilateral Versus Bilateral Prostatic Arterial Embolization for Lower Urinary Tract Symptoms in Patients with Prostate Enlargement
| dc.contributor.author | Bilhim, T | |
| dc.contributor.author | Pisco, JM | |
| dc.contributor.author | Rio Tinto, H | |
| dc.contributor.author | Fernandes, L | |
| dc.contributor.author | Pinheiro, LC | |
| dc.contributor.author | Duarte, M | |
| dc.contributor.author | Pereira, J | |
| dc.contributor.author | Oliveira, A | |
| dc.contributor.author | Goyri-O'Neill, J | |
| dc.date.accessioned | 2013-03-27T16:00:48Z | |
| dc.date.available | 2013-03-27T16:00:48Z | |
| dc.date.issued | 2013 | |
| dc.description.abstract | PURPOSE: This study was designed to compare baseline data and clinical outcome between patients with prostate enlargement/benign prostatic hyperplasia (PE/BPH) who underwent unilateral and bilateral prostatic arterial embolization (PAE) for the relief of lower urinary tract symptoms (LUTS). METHODS: This single-center, ambispective cohort study compared 122 consecutive patients (mean age 66.7 years) with unilateral versus bilateral PAE from March 2009 to December 2011. Selective PAE was performed with 100- and 200-μm nonspherical polyvinyl alcohol (PVA) particles by a unilateral femoral approach. RESULTS: Bilateral PAE was performed in 103 (84.4 %) patients (group A). The remaining 19 (15.6 %) patients underwent unilateral PAE (group B). Mean follow-up time was 6.7 months in group A and 7.3 months in group B. Mean prostate volume, PSA, International prostate symptom score/quality of life (IPSS/QoL) and post-void residual volume (PVR) reduction, and peak flow rate (Qmax) improvement were 19.4 mL, 1.68 ng/mL, 11.8/2.0 points, 32.9 mL, and 3.9 mL/s in group A and 11.5 mL, 1.98 ng/mL, 8.9/1.4 points, 53.8 mL, and 4.58 mL/s in group B. Poor clinical outcome was observed in 24.3 % of patients from group A and 47.4 % from group B (p = 0.04). CONCLUSIONS: PAE is a safe and effective technique that can induce 48 % improvement in the IPSS score and a prostate volume reduction of 19 %, with good clinical outcome in up to 75 % of treated patients. Bilateral PAE seems to lead to better clinical results; however, up to 50 % of patients after unilateral PAE may have a good clinical outcome. | por |
| dc.identifier.citation | Cardiovasc Intervent Radiol. 2013 Apr;36(2):403-11 | por |
| dc.identifier.uri | http://hdl.handle.net/10400.17/1191 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Springer | por |
| dc.subject | Hiperplasia Prostática | por |
| dc.subject | HSJ URO | por |
| dc.subject | Sintomas do Sistema Urinário Inferior | por |
| dc.subject | Análise de Variância | |
| dc.subject | Angiografia Digital | |
| dc.subject | Artérias | |
| dc.subject | Biópsia | |
| dc.subject | Estudos de Coorte | |
| dc.subject | Embolização Terapêutica | |
| dc.subject | Artéria Femoral | |
| dc.subject | Modelos Logísticos | |
| dc.subject | Álcool de Polivinil | |
| dc.subject | Próstata | |
| dc.subject | Qualidade de Vida | |
| dc.subject | Resultado de Tratamento | |
| dc.title | Unilateral Versus Bilateral Prostatic Arterial Embolization for Lower Urinary Tract Symptoms in Patients with Prostate Enlargement | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 411 | por |
| oaire.citation.startPage | 403 | por |
| oaire.citation.title | Cardiovascular and Interventional Radiology | por |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |