Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1193
Título: Prostatic Arterial Embolization to Treat Benign Prostatic Hyperplasia
Autor: Pisco, JM
Pinheiro, LC
Bilhim, T
Duarte, M
Mendes, J
Oliveira, A
Palavras-chave: Artérias
Biópsia
Embolização Terapêutica
Efeitos Adversos
Estudos de Viabilidade
Isquemia
Ressonância Magnética
Tamanho do Órgão
Erecção do Pénis
Projectos Piloto
Álcool de Polivinil
Portugal
Estudos Prospectivos
Próstata
Ultrassonografia
Antigénio Prostático Específico
Hiperplasia Prostática
Qualidade de Vida
Recuperação da Função Fisiológica
Factores de Tempo
Resultado de Tratamento
Bexiga
Urodinâmica
Data: 2011
Editora: Elsevier
Citação: J Vasc Interv Radiol. 2011 Jan;22(1):11-9; quiz 20
Resumo: PURPOSE: To evaluate whether prostatic arterial embolization (PAE) might be a feasible procedure to treat lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH). MATERIALS AND METHODS: Fifteen patients (age range, 62-82 years; mean age, 74.1 y) with symptomatic BPH after failure of medical treatment were selected for PAE with nonspherical 200-μm polyvinyl alcohol particles. The procedure was performed by a single femoral approach. Technical success was considered when selective prostatic arterial catheterization and embolization was achieved on at least one pelvic side. RESULTS: PAE was technically successful in 14 of the 15 patients (93.3%). There was a mean follow-up of 7.9 months (range, 3-12 months). International Prostate Symptom Score decreased a mean of 6.5 points (P = .005), quality of life improved 1.14 points (P = .065), International Index of Erectile Function increased 1.7 points (P = .063), and peak urinary flow increased 3.85 mL/sec (P = .015). There was a mean prostate-specific antigen reduction of 2.27 ng/mL (P = .072) and a mean prostate volume decrease of 26.5 mL (P = .0001) by ultrasound and 28.9 mL (P = .008) by magnetic resonance imaging. There was one major complication (a 1.5-cm(2) ischemic area of the bladder wall) and four clinical failures (28.6%). CONCLUSIONS: In this small group of patients, PAE was a feasible procedure, with preliminary results and short-term follow-up suggesting good symptom control without sexual dysfunction in suitable candidates, associated with a reduction in prostate volume.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1193
Aparece nas colecções:URO - Artigos

Ficheiros deste registo:
Ficheiro Descrição TamanhoFormato 
JVIR 2011 11.pdf1,83 MBAdobe PDFVer/Abrir


FacebookTwitterDeliciousLinkedInDiggGoogle BookmarksMySpace
Formato BibTex MendeleyEndnote Degois 

Todos os registos no repositório estão protegidos por leis de copyright, com todos os direitos reservados.