Marco Amato, Ahmed Eissa, Stefano Puliatti, Giuseppe Di Chiacchio, Marcello Malossi, Federica Fiocchi, Pietro Torricelli, Maria Chiara Sighinolfi, Riccardo Milandri, Ahmed Zoeir, Tarek Gameel, Salvatore Micali, Giampaolo Bianchi, Bernardo Rocco
- PMID: 33650541
Abstract
Objective: To evaluate the safety and efficacy of prostatic artery embolization in the management of LUTS secondary to BPH in elderly patients unfit for surgery.
Materials and methods: 17 elderly patients with moderate to severe LUTS/BPH were included in the study and treated with prostatic artery embolization. The patients were evaluated by transrectal ultrasonography (to assess prostate size), IPSS, and PVR urine volume preoperatively and 6 months after the procedure.
Results: The mean age of patients was 76.67 ± 7.69. The mean prostate volume was 139.8 ± 81.83 g. The mean preoperative IPSS and PVR were 23 ± 5.4, and 94.43 ± 88.94 ml, respectively. The mean operative time was 90 minutes. Only three patients suffered from postoperative complications (two patients suffered from urinary tract infection and one patient had partial penile necrosis). At 6 months follow up, there was a significant reduction in the prostate volume (101 ± 73.65 cc), IPSS (12.5 ± 3.65), and PVR urine volume (48.64 ± 43.55).
Conclusion: prostatic artery embolization is a safe and effective nonsurgical alternative treatment of BPH/LUTS particularly in elderly patients with multiple comorbidities.
Keywords: Añoso; BPH; Elderly; Embolización arteria prostática; HBP; LUTS; Prostatic artery embolization; STUI.
