Benign Prostatic Hyperplasia - New Treatment - Results

From March 2009, up to January 2014, 600 patients with BPH have been treated. There was improvement in about 85% and 15% did not improve.  The patients who do not improve they stay as they were, nobody get worse, and they can have surgery if then wish. Between 1 and 4 years there are recurrence of symptoms in about 10% of the cases. The embolization can be repeated, by 1.500€ of payment to cover part of the material used , in those with good prostatic arteries and they may  improve again. Most patients go home the same day. There was just one major complication a small area of ischemia of the bladder that was removed by surgery. The patient, 72 years old, is our friend and he is very happy because his sexual activity improved. There were some no significant complications that were self-controlled. Twelve patients had previous TURP and 2 prostatectomy by open surgery. Sixty two were in urinary tract obstruction and had a bladder catheter. The bladder catheter was removed some days after the procedure, in 60 of them.
Most patients did not feel any pain or slight pain during or after the procedure.

The mean prostate volume decreased between 10 and 30% in 80% of the patients.

The sexual performance improved in about a third of the treated patients, and in the remaining persisted as it was.

Adverse reactions after embolization may be divided into 3 groups:

A) Common – Bruising at the puncture site, bruising of the thigh (purple color), burning of the urethra and anus for a few hours, urinating often on the night of treatment and constipation 1 or 2 days;
B) Rare (10%) – Urinary tract infection and blood in the urine;
C) Very Rare (2%) – Blood in stool and sperm. All these reactions pass after a few days or weeks without any treatment.

 

Results at mid and long term

 

Published in the journal JVIR, 2016 ( see publications).

There was relief of symptons at discharge 4-6 hours after PAE in 32%, improvement at short term up to 1 year in 89% , mid term in 82,2%, and long term between 3 and 7,5 years in 78%.

PAE can be repeated if there is recurrence of symptons.

 

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