Publication
Long-Term Outcome of Prostatic Artery Embolization for Patients with Benign Prostatic Hyperplasia: Single-Centre Retrospective Study in 1072 Patients Over a 10-Year Period.
| dc.contributor.author | Bilhim, Tiago | |
| dc.contributor.author | Costa, Nuno Vasco | |
| dc.contributor.author | Torres, Daniel | |
| dc.contributor.author | Pinheiro, Luís Campos | |
| dc.contributor.author | Spaepen, Erik | |
| dc.date.accessioned | 2025-08-27T14:32:50Z | |
| dc.date.available | 2025-08-27T14:32:50Z | |
| dc.date.issued | 2022-09 | |
| dc.description.abstract | Purpose: Assess long-term outcomes of prostatic artery embolization (PAE) for patients with benign prostatic hyperplasia (BPH). Materials and methods: Single centre retrospective study from 2009-2019 including 1072 patients who received PAE and had available follow-up. Patients were evaluated yearly at 1-10 years post PAE using the International Prostate Symptom Score (IPSS) and quality of life (QoL), prostate volume (PV), prostate-specific antigen (PSA), peak urinary flow rate (Qmax) and postvoid residual (PVR) volume. The need for prostatic medication, re-intervention rates, repeat PAE and prostatectomy rates were assessed with Kaplan-Meier survival analysis and compared between different embolic agents using Cox regression analysis. Results: Mean follow-up time was 4.39 ± 2.37 years. At last follow-up visit, mean IPSS and QoL improvements were - 10.14 ± 8.34 (p < .0001) and - 1.87 ± 1.48 (p < .0001) points, mean PV reduction was - 6.82 ± 41.11 cm3 (p = 0.7779), mean PSA reduction was - 1.12 ± 4.60 ng/mL (p = 0.9713), mean Qmax increase was 2.72 ± 6.38 mL/s (p = 0.0005), mean PVR reduction was - 8.35 ± 135.75 mL (p = 0.6786). There were 335 patients (31.3%) needing prostatic medication after PAE. Re-intervention rates were 3.4% at 1 year, 21.1% at 5 years and 58.1% at 10 years. Repeat-PAE rates were 2.3% at 1 year, 9.5% at 5 years and 23.1% at 10 years. Prostatectomy rates were 1.1% at 1 year, 11.6% at 5 years and 35.0% at 10 years. No significant differences were found between polyvinyl alcohol particles, Bead Block, Embospheres and Embozenes. Conclusion: PAE induces durable long-term LUTS relief, with re-intervention rates of 20% in the first 5 years and 30%-60% > 5 years post-PAE. | eng |
| dc.identifier.citation | Cardiovasc Intervent Radiol . 2022 Sep;45(9):1324-1336 | |
| dc.identifier.doi | 10.1007/s00270-022-03199-8 | |
| dc.identifier.other | 35778579 | |
| dc.identifier.uri | http://hdl.handle.net/10400.17/5152 | |
| dc.language.iso | en | |
| dc.peerreviewed | yes | |
| dc.publisher | Springerlink | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | |
| dc.subject | Benign prostatic hyperplasia (BPH) | |
| dc.subject | Benign prostatic obstruction (BPO) | |
| dc.subject | Bladder outlet obstruction (BOO) | |
| dc.subject | Long-term | |
| dc.subject | Lower urinary tract symptoms (LUTS) | |
| dc.subject | Prostatic artery embolization (PAE) | |
| dc.subject | HSJ IMA | |
| dc.title | Long-Term Outcome of Prostatic Artery Embolization for Patients with Benign Prostatic Hyperplasia: Single-Centre Retrospective Study in 1072 Patients Over a 10-Year Period. | eng |
| dc.type | periodical | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 1336 | |
| oaire.citation.issue | 9 | |
| oaire.citation.startPage | 1324 | |
| oaire.citation.volume | 45 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 |