Benign Prostatic Hyperplasia - New Treatment - New treatment – Preparation for the procedure

If  the patient has indication for embolization and if the pelvic vessels, visualized by CT Angiography, are suitable for embolization, the procedure will be scheduled.

How do I Know if my prostate can be treated by the new procedure, if I live abroad?
You should  get a prostate volume by rectal ultrasound, PSA, post void residual volume, creatinine, glicemia and colesterol.
If your prostate is larger 40cc and have most symptoms described before on Clinical Presentation you might be treated. Then you have fill up the questionnaires of IPSS and Quality of life and send them by email together with PSA, PVR (Post residual volume)  report of ultrasound and other data to St. Louis Hospital. Then you’ll receive the information if your prostate is or not suitable for embolization.


Fig. 2 – Pelvic rectal ultrasound for visualization of prostate and diameters

The patient will stop all the prostate medications one week before the procedure and will take an anti-inflammatory and an antibiotic starting 2 days before.

Just before the procedure an intravenous line is placed in the arm for saline.
The patient should urinate just before the intervention, because a bladder catheter is not placed, unless they are in urinary retention and have already one.

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Comentários: 2

  1. Michael Ruddy says:

    I have been diagnosed with BHP. I would like to be treated by Dr. Joao Martins Pisco using the Prostatic Artery Embolization method.

    Please tell me the which medical tests and other information is necessary for you to decide if I am a suitable candidate for this treatment.

    I am 67 years old and have had recurring episodes of BHP over the past several years.

  2. elizabetep says:

    Dear Michael, you need to do a prostatic ultrasound per rectum, uroflowmetry and PSA. Please send the text for the next email: or

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