Posted on 10/07/2024 8:58:27 AM PDT by ConservativeMind
For men with benign prostatic hyperplasia (BPH), prostatic artery embolization (PAE) is safe and effective over 24 months of follow-up, according to a study.
Marc R. Sapoval, M.D., Ph.D. and colleagues conducted an international trial of men with BPH with lower urinary tract symptoms (LUTS) or acute urinary retention (AUR) treated with PAE. Clinical outcomes were described over 24 months, with the primary outcome of 12-month change in the International Prostate Symptom Score (IPSS) or urinary catheter independence for patients referred for bothersome LUTS and treated for AUR, respectively.
The analyses included 478 patients who underwent PAE (405 with bothersome LUTS and 73 with AUR). The researchers found that the mean total IPSS at baseline was 21.8 for patients treated for bothersome LUTS, which significantly decreased to 9.3, 10.6, and 11.2 at three, 12, and 24 months after PAE, respectively. At baseline, quality of life (QoL) was 4.7 and decreased to 2.0, 2.1, and 2.3 at three, 12, and 24 months, respectively. The mean Sexual Health Inventory for Men score was 13.8 and 13.9 at baseline and 12 months following PAE, respectively.
Overall, 65.8% of the patients treated for AUR had their indwelling catheter removed within three months of PAE and remained catheter-free at 24 months. Overall, 11.5% experienced one or more adverse events, and 2.1% experienced a serious adverse event.
"The mean changes in IPSS and QoL scores suggest durability of the clinical benefits associated with PAE," the authors write.
(Excerpt) Read more at medicalxpress.com ...
This uses dye and live X-rays to help the radiologist target the arteries to be blocked.
Now I have to pee. Looks promising, thanks for posting!
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About a year ago I had acute urinary retention due to benign prostatic hyperplasia. The urologist did a transurethral resection of the prostate (TURP) which required an overnight hospital stay but which cured the problem. She didn’t recommend prostatic artery embolization.
What does that even mean? Could someone break it down to regular English?
Green light?
Heh, of course at my age, this is a subject of importance to me, given the symptoms, which has been a real problem.
Basically, as men get older, many of us have prostate glands that change shape and size, and eventually can interfere with the flow of urine because the male urethra (carrying urine from the bladder) passes right through the center of the damned thing.
Your bladder sits right on top of your prostate, and acts like a gate. When your prostate enlarges, the gate through which urine passes gets smaller. So the urine stays in the bladder, doesn’t empty fully, and you have to pee all the time.
The prostate is a gland that has blood flow to it, and they found out that if they block some of the minor blood vessels, certain parts of the prostate gland can die off and atrophy. When they do, the prostate shrinks, and more urine can get through, there is less urine retained in the bladder, and you don’t feel like you have to pee all the time.
So, they find out using some dye and an imaging device where those smaller vessels are and they put glue (probably glue, or something else to block them) in them, blocking them.
Does that help?
What did you not understand in my explanation?
I noticed I botched a sentence.
It should read:
“The prostate cells die off, reducing its size and enough die off in the urinary tract that it is much more normal.”
What's that mean?
Thank you.
My husband is still coming off of a, what boils down to, a malpractice situation. He was just having his prostate checked out, minor outpatient procedure. Anyway at some point when he had to go back due to leakage, the nurse in the emergency room put the Foley in his prostate, not his bladder. (His prostate is very big) My husband almost died due to sepsis, kidney failure, and blood clots on his lungs. ANYWAY, the Foley is still in after almost two months because there can be no prostate surgery until the blood clots on his lungs are cleared up. I was wondering if whatever this info was could help him get off the Foley sooner.
I’m right here, you know. Just waiting to find out what nully meant by referring to a green light.
I will say that everything works as well as before the operation. Of course, I am 69 years old, so anything’s better than nothing.
I think the overnight stay had to do with the need to flush the bladder with saline for several hours and with the scheduling of the operation for late afternoon. The whole thing wasn’t that bad (not even one aspirin’s worth of pain), and the overall results were well worth it IMO.
Oh. I don’t know. Whatever it was worked fine. For all I know she used a Dremel tool.
I’ve got green light scheduled for December, I’ll let you know how it went.
But first, I’m asking about PAE!
I hope your husband’s situation works out well. A Foley catheter is no fun at all. I had to wear one for about 5 weeks before my TURP and hated it, especially when I’d go out quail hunting and walk 2 or 3 miles in the desert. It was a great day when I was set free of the thing.
Here’s hoping for the best for you, whether PAE or TURP.
Green light cauterizes as it works, limiting bleeding and speeding recovery.
I’ll still ask about PAE...
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