Prostate Artery Embolization in Patients With Acute Urinary Retention - 25/11/19
, Olivier Pellerin, MD, PhD a, Gregory Amouyal, MD a, François Desgranchamps, MD, PhD b, Paul Méria, MD b, Amaury De Gouvello, MD b, Charles Dariane, MD c, Carole Déan, PhD a, Helena Pereira, PhD a, Nicolas Thiounn, MD, PhD c, Marc Sapoval, MD, PhD aAbstract |
Background |
This prospective study assessed the efficacy of prostate artery embolization after failure of a trial without catheter in patients suffering a first episode of acute urinary retention as a result of benign prostatic hyperplasia (BPH).
Methods |
Patients with failure of a trial without catheter despite alpha-blocker therapy were invited to participate in this protocol. Twenty patients were included in the study, and all underwent prostate artery embolization with calibrated polyvinyl alcohol (PVA) microspheres (Bead Block, BTG Ltd., Farnham, UK).
Results |
Successful removal of the indwelling bladder catheter and spontaneous voiding was achieved in 15 of 20 (75%) patients, and the overall clinical success at 6 months after prostate embolization was 14 of 20 (70%). No patient experienced severe adverse events.
Conclusions |
Prostate artery embolization might be a valuable treatment after a failure of a trial without catheter. Further studies are needed to better define its place in this setting.
El texto completo de este artículo está disponible en PDF.Keywords : Acute urinary retention, Benign prostatic hyperplasia, Prostate artery embolization, Trial without catheter failure
Esquema
| ☆ | Funding: This work was supported by a research grant from Biocompatibles UK Ltd. |
| ☆☆ | Conflicts of Interest: AGK, GA, FD, PM, ADG, CD, CD, HP have none; OP receives financial support from Merit Medical (Salt Lake City, Utah) for educational programs and clinical research grant; NT receives support from Merit Medical (Salt Lake City, Utah) for educational programs; MS receives support from Merit Medical (Salt Lake City, Utah) for educational programs, clinical research grant and lecture fees. |
| ☆☆☆ | Authorship: All authors had access to the data and a role in writing this manuscript. |
Vol 132 - N° 11
P. e786-e790 - novembre 2019 Regresar al número
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