Brief observation: Prostate artery embolization in patients with acute urinary retention.
Am J Med. 2019 May 16;:
Authors: Kenny AG, Pellerin O, Gregory Amouyal, Desgranchamps F, Paul Méria MD, Amaury De Gouvello MD, Charles Darianne MD, Déan C, Pereira H, Thiounn N, Sapoval M
OBJECTIVE: The objective of this prospective study was to assess the efficacy of prostate artery embolization after failure of a trial without catheter in patients suffering a first episode of acute urinary retention due to benign prostatic hyperplasia.
METHODS: Patients with failure of a trial without catheter despite alpha-blocker therapy were invited to participate to this protocol. Twenty consecutive patients were included in the study. All patients underwent prostate artery embolization with calibrated PVA microspheres (Bead Block®, BTG Ltd., Farnham, UK).
RESULTS: Successful removal of the indwelling bladder catheter and spontaneous voiding was achieved in 15/20 (75%) patients and the overall clinical success at 6months after prostate embolization was 14/20 (70%). No patient experienced severe adverse events.
CONCLUSIONS: Prostate artery embolization might be a valuable treatment after a failure of a trial without catheter. Further studies are needed to better define his place in this setting.
PMID: 31103644 [PubMed - as supplied by publisher]