Benign prostatic hyperplasia (BPH) is one of the most common diseases of the genitourinary system. The prevalence of BPH increases in men with advancing age. While transurethral resection of the prostate gland entails complications such as retrograde ejaculation, urinary incontinence, hematuria, urethral strictures, bladder neck sclerosis, and other adverse events, it is necessary to apply minimally invasive surgical methods such as superselective embolization of the prostatic arteries (PAE), particularly Proximal Embolization First Then Distal Embolization (PErFecTED). The data from 1,015 BPH patients who underwent endovascular surgery demonstrate the benefits of PErFecTED treatment during 24 months after surgery. Both Quality of Life score and International Prostate Symptom Score were around three times better in the PErFecTED group and remained stable during the entire observation period. However, the technique needs to be improved due to the high risk of postembolization syndrome.
American journal of men's health. 0000 Jan [Epub]
Armais Kamalov, Sergei Kapranov, Alexander Neymark, Dmitry Kurbatov, Boris Neymark, Valery Karpov, Boris Shaparov
Urology and Andrology Department, Faculty of Medicine, Lomonosov Moscow State University, Moscow, Russia., Research Institute of Clinical Surgery, Pirogov Russian National Research Medical University, Moscow, Russia., Department of Urology and Andrology, Altai State Medical University, Barnaul, Russia., Department of Urology and Andrology, National Medical Research Center of Endocrinology, Moscow, Russia.