Association between intravesical prostatic protrusion and clinical outcomes in prostatic artery embolization.
Diagn Interv Imaging
; 102(3): 141-145, 2021 Mar.
Article
em En
| MEDLINE
| ID: mdl-33423975
ABSTRACT
PURPOSE:
To evaluate the influence of intravesical prostatic protrusion (IPP) on clinical outcomes after prostatic artery embolization (PAE) in patients with lower urinary tract symptoms due to benign prostatic hyperplasia. MATERIALS ANDMETHODS:
All consecutive patients who underwent PAE for lower urinary tract symptoms between January 2017 and January 2019 were retrospectively included. IPP was evaluated on pre-treatment magnetic resonance imaging examination and symptoms were assessed at follow-up consultations using the international prostate symptom score (IPSS) and quality of life (QOL) questionnaire. IPPs were classified as grade 1 (<5mm), grade 2 (5-10mm), or grade 3 (>10mm).RESULTS:
A total of 160 consecutive men (mean age 65±7.8 [SD] years; range 45-89 years), underwent PAE. The mean IPSS was 21±7.3 (SD) (range 5-35) and prostate volume 87±38 (SD) mL (range 30-200mL). The IPP grade was 1 for 28 (28/160; 18%), 2 for 52 (52/160; 33%), and 3 for 80 (80/160; 50%) patients. There were no significant differences in IPSS at baseline between the three IPP grades. Patients with severe (grade 3) IPP had a significantly higher reduction in IPSS than those with non-severe IPP (grade 1 or 2), with estimated mean reductions of 12±2.5 (SD) (range -4-28) and 8.3±1.9 (SD) (range -8-21) (P=0.02), respectively. The mean reduction in the QOL score was 3.0 for grade 3 and 2.0 for grade 1 or 2 IPP (P=0.02).CONCLUSIONS:
The degree of IPP does not limit the efficacy of PAE in patients with lower urinary tract symptoms due to benign prostatic hyperplasia.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hiperplasia Prostática
/
Embolização Terapêutica
Tipo de estudo:
Observational_studies
Limite:
Aged
/
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Diagn Interv Imaging
Ano de publicação:
2021
Tipo de documento:
Article