A Systematic Review of Prostatic Artery Embolization in the Treatment of Symptomatic Benign Prostatic Hyperplasia

@article{Kuang2016ASR,
  title={A Systematic Review of Prostatic Artery Embolization in the Treatment of Symptomatic Benign Prostatic Hyperplasia},
  author={M. Kuang and Anthony Vu and Sriharsha Athreya},
  journal={CardioVascular and Interventional Radiology},
  year={2016},
  volume={40},
  pages={655-663}
}
PurposeTo summarize current evidence on outcomes and complications of prostatic artery embolization as a treatment for patients with lower urinary tract symptoms secondary to benign prostatic hyperplasia.Methods and MaterialsA database search of MEDLINE, Embase, Web of Science, and Cochrane Library was performed for published literature up to August 2015 concerning PAE in the treatment of BPH. Inclusion and exclusion criteria were applied by two independent reviewers, and disagreements were… 
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    The world journal of men's health
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References

SHOWING 1-10 OF 27 REFERENCES
Early results from a United States trial of prostatic artery embolization in the treatment of benign prostatic hyperplasia.
Unilateral Versus Bilateral Prostatic Arterial Embolization for Lower Urinary Tract Symptoms in Patients with Prostate Enlargement
TLDR
PAE is a safe and effective technique that can induce 48 % improvement in the IPSS score and a prostate volume reduction of 19 %, with good clinical outcome in up to 75 % of treated patients.
Benign prostatic hyperplasia: prostatic arterial embolization versus transurethral resection of the prostate--a prospective, randomized, and controlled clinical trial.
TLDR
Both procedures resulted in significant clinical improvements in the treatment of BPH, however, the advantages of the PAE procedure must be weighed against the potential for technical and clinical failures in a minority of patients.
Embolisation of prostatic arteries as treatment of moderate to severe lower urinary symptoms (LUTS) secondary to benign hyperplasia: results of short- and mid-term follow-up
TLDR
PAE is a procedure with good results for BPH patients with moderate to severe lower urinary tract symptoms after failure of medical treatment for at least 6 months, and is a promising new technique that has shown good results.
Prostatic arterial embolization for the treatment of lower urinary tract symptoms due to large (>80 mL) benign prostatic hyperplasia: results of midterm follow-up from Chinese population
TLDR
PAE is a safe and effective treatment method for patients with lower urinary tract symptoms (LUTS) due to large volume BPH and may play an important role in patients in whom medical therapy has failed, who are not candidates for open surgery or TURP or refuse any surgical treatment.
Prostatic Arterial Embolization with Small Sized Particles for the Treatment of Lower Urinary Tract Symptoms Due to Large Benign Prostatic Hyperplasia: Preliminary Results
TLDR
The combination of 50 &mgr;m and 100 &mGr;m particles for PAE is a safe and effective treatment method for patients with severe LUTS due to large BPH, which further improves the clinical results of PAE.
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