Abstract

ZEGARRA-MONTES, Luis et al. Eficacia de la embolización de las arterias prostáticas en el tratamiento de los síntomas del tracto urinario bajo asociados a hiperplasia benigna de la próstata: Reporte preliminarEfficacy of prostatic artery embolization in the treatment of urinary symptoms associated to benign prostatic hyperplasia: A preliminary report. Rev Med Hered [online]. 2018, vol.29, n.2, pp.76-84. ISSN 1018-130X.  http://dx.doi.org/https://doi.org/10.20453/rmh.v29i2.3346.

Objectives: To determine the efficacy of prostatic artery embolization in the treatment of urinary symptoms associated to benign prostatic hyperplasia. Methods: A descriptive and prospective case report study was conducted. Embolization of prostatic arteries (EPS) was carried-out in 10 patients, 7 of whom had moderate and severe urinary tract symptoms to associated to benign prostatic hyperplasia (UTS/BPH) refractory to medical treatment during 6 months, 3 were using a permanent urinary catheter. Mean age was 69.4 ± 8.04 years. Patients were evaluated at time 0 of EPS and at 1, 3 and 6 months after. Success was defined as reduction in prostatic volume (PV) >10%; improvement in the international score of prostatic symptoms (ISPS); maximum urinary output (Qmáx) > 15 ml/ sec; international index of erectile function (IIEF) with no variation or increase in 10%; reduction on post void residual (PVR) >20% and ≤2 medical events. Results: The EPS was technically successful in 100% of patients. The evaluation of clinical parameters at 6 months was as follows: 40% reduction in PV (p=0.0009; the ISPS improved in 63% (p=0.0010). No variation was observed in the IIEF-15 (12.1% reduction (p=0.1157)); the Qmáx increased in 80% (p=0.1088), and a 25% reduction in PVR (p= 0.6177)). No complications were observed during the procedure. Conclusions: EPS is an option to improve clinical parameters of UTS/BPH without affecting the sexual function. No major complications were observed.

Keywords : Angiography; therapeutic embolization arteries; prostate; urological diseases; prostatic hyperplasia.

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