Benign Prostatic Hyperplasia - New Treatment - Indications for embolization

Patients with symptomatic BPH might be treated with embolization.  Only patients with severe symptoms, prostate larger than 40cc and urinary flow lower than 12 mL/s have indication to be treated. In order to exclude malignancy, PSA, prostatic ultrasound by rectal approach and eventually biopsy should be performed. Urinary flow should also be evaluated.

We started already treating prostate with malignant tumor. For the purpose a cytostatic will be mixed to the particles and will be injected through the catheter. The chemoembolization will be similar to the performed for hepatic malignant tumor and we hope that the majority of the patients can be cured.

Angiography  by Computed Tomography must be performed, in Lisbon, in order to evaluate the possibility of embolizing the prostatic vessels. If the pelvic vessels are viable with minor involvement by atherosclerosis, the embolization can be performed. On the other hand if they are tortuous and have severe atherosclerotic changes the embolization can not be performed.

The single factor against the procedure is the impossibility to perform it in every patient. The procedure may not be possible to be performed if the prostatic arteries are very involved by advanced atherosclerosis disease.

On the other hand there is a small percentage rate of non improvement similar to all other procedures for BPH.

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Comentários: 2

  1. Dear Professor Pisco,

    I am writing an article for the “Neue Zuercher Zeitung”, the highest-circulating Newspaper in Switzerland ( The article is about Prostatic Hyperplasia and its treatment. With great interest I read a press release about your study.

    I would be very happy if you could answer the following questions for me for my article about Embolization for BPH in the Swiss Newspaper.

    1. How did you get the idea to conduct embolization in men with BPH?
    2. I read about the technique on your homepage Is it similar to the embolization of fibroids in the female uterus?
    3. What advantages do you see in embolization in comparison to “gold-standard” TRUP?
    4. Would all men with BPH profit from embolization?
    5. Is the technique less expensive than TRUP?
    6. Do you think embolization will be the future “gold-standard” of BPH?

    I would be very happy if Prof. Pisco could answer my questions by Tuesday 12.4. as I have to give in my article by end of next week.
    Thank you very much!

    Best wishes,
    Felicitas Witte

    Dr. med. Felicitas Witte

    Hebelstrasse 105 • CH-4056 Basel • Schweiz

    • Telefon +41(0)61-3225830
    • Fax +41(0)61-3225831
    • Mobil +41(0)79-3776193
    • Mobil +49(0)163-3216666


  2. Daniel Nahon says:

    Prof. Pisco:
    I am a 52 year old suffering from BPH and live in Canada. I was wondering whether you accept private patients for your PAE procedure. Can you let me know whether this would be possible and whom I should contact to organize.
    Thank You,

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