Improvements in Irritative Versus Obstructive Symptoms of the International Prostate Symptom Score After Prostatic Artery Embolization in 174 Patients, in a Single Center

Aim The aim of this study is to compare the improvements in irritative versus obstructive symptoms of the International Prostate Symptom Score (IPSS) after prostatic artery embolization (PAE) in patients with benign prostatic hyperplasia (BPH). Materials and Methods Between 2010 and 2018, 186 patien...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2020-04, Vol.43 (4), p.613-619
Main Authors: Moreira, Airton Mota, de Assis, André Moreira, Carnevale, Francisco Cesar, Oliveira, Daniel Simões, Antunes, Alberto Azoubel
Format: Article
Language:English
Subjects:
Cardiology
Clinical Investigation
Drug therapy
Embolisation (arterial)
Embolization
Hyperplasia
Imaging
Medicine
Medicine & Public Health
Nuclear Medicine
Patients
Prostate
Radiology
Ultrasound
Variance analysis
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Summary:Aim The aim of this study is to compare the improvements in irritative versus obstructive symptoms of the International Prostate Symptom Score (IPSS) after prostatic artery embolization (PAE) in patients with benign prostatic hyperplasia (BPH). Materials and Methods Between 2010 and 2018, 186 patients underwent PAE in a single center and 174 patients were retrospectively selected. The inclusion criteria were symptoms due to BPH, refractory to pharmacological treatment and IPSS ≥ 8. The mean age of the patients was 63.7 ± 7.2 years, the mean prostate volume 89.5 ± 42.5 cm 3 , and the mean IPSS 19.0 ± 6.2 points. Patient data were reviewed at baseline, 3, 12 and 24 months and compared using the ANOVA mixed models and the Tukey’s multiple comparison test. Results Obstructive subscores dropped more significantly than irritative subscores ( p  
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-019-02398-0