Learning objectives
The purpose of this educational poster is to demonstrate the feasibility of prostate artery embolisation (PAE) via a transradial approach using illustrative examples from our institution.
Background
PAE is a safe and effective alternative for the treatment of lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) as well as refractory haematuria, and should be seen as a viable alternative to conservative and surgical measures.
PAE has traditionally been described using a transfemoral approach, although we have experienced similar success using a transradial approach.
This educational review will discuss the indications, contraindications, technical feasibility and complications of performing PAE using a transradial approach, as well as clarifying the advatages of...
Findings and procedure details
Epidemiology and pathophysiology of BPH
BPH has a high prevalence rate amongst ageing men, with >50% affected >50 years and >90% >80 years [1,2]. It contributes to, but is not the sole cause of, LUTS in this patient group.
BPH is characterised histopathologically by an increased number of epithelial and stromal cells in the periurethral area of the prostate (Fig. 1).
Whilst there is no clear consensus on the pathophysiology of BPH, several theories have been advanced, and it is clear that androgens play a...
Conclusion
Our experiences demonstrate that the transradial approach is a safe and effective means of accessing the prostatic blood supply for the purposes of PAE. We hope that our educational examples will be of beneft to those who practice PAE and the patients they serve.
Personal information and conflict of interest
J. Russell; NW3 2QG/UK - nothing to disclose M. Khalifa; NW3 2QG/UK - nothing to disclose
References
Garraway WM, Collins GN, Lee RJ. High prevalence of benign prostatic hypertrophy in the community. Lancet 1991;338(8765): 469–471
Rosen RC, Giuliano F, Carson CC. Sexual dysfunction and lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH). Eur Urol 2005;47(6): 824–837
Sun F, Sánchez FM, Crisóstomo V, et al. Benign prostatic hyperplasia: transcatheter arterial embolization as potential treatment—preliminary study in pigs. Radiology 2008;246(3):783–789
Jeon GS, Won JH, Lee BM, et al. The effect of transarterial prostate embolization in hormone-induced benign prostatic hyperplasia in dogs:...