Abstract

Prostatic hyperplasia can cause dysuria, such as frequent urination, urgency of urination, increased nocturia, poor urination, and other symptoms, which seriously affect the quality of life of old men. We aim to compare and analyze the safety and clinical effect of embolization of the target blood vessels of ruptured prostatic hyperplasia with gelatin sponge particles and embosphere microspheres. Methods. The transcatheter MRI was performed in 422 patients. Among them, 198 patients were treated with gelfoam particles and 224 patients were treated with embosphere microspheres. The clinical effect and adverse reactions were observed and analyzed by biochemical and imaging examination. Four hundred and twenty two cases were hemostasis. In the gelatin sponge group, 34 patients had recurrent bleeding 24–36 hours after embolization, 122 patients had different degrees of elevation of prostatic hyperplasia transaminase (31 cases increased to more than 1000 U/L), 198 patients had different degrees of elevation of bilirubin; in the microsphere group, there was no significant difference in prostatic hyperplasia function indexes between the two groups. Conclusion. Compared with the gelfoam embolic agent, the embosphere embolic microsphere has a good efficacy and safety in the treatment of prostatic hyperplasia rupture and hemorrhage, with a light adverse reaction, a low probability of recanalization, and little damage to the postoperative prostatic hyperplasia function, which is conducive to the benign recovery of perioperative patients and is worthy of clinical application.

Highlights

  • Prostatic hyperplasia is a common disease of old men

  • MRI has the advantages of high resolution of soft tissue, multilevel imaging, and large field of vision. It is one of the best imaging methods for the diagnosis and staging of Journal of Healthcare Engineering prostate cancer [17]. erefore, we investigated the safety and clinical effect of embolization of the target blood vessels of ruptured prostatic hyperplasia with gelatin sponge particles and embosphere microspheres

  • We can clearly see that the black nanoparticle aggregates are coated in light-colored embosphere polymer microspheres, indicating that embosphere microspheres containing nanoparticles were successfully prepared by emulsion polymerization

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Summary

Introduction

Prostatic hyperplasia is a common disease of old men. Its cause is that the dynamic and mechanical changes of the prostate have an oppressive effect on the bladder outlet and urethra, resulting in dysuria, such as frequent urination, urgency of urination, increased nocturia, poor urination, and other symptoms, which seriously affect the quality of life of old men [1,2,3,4,5]. MRI has the advantages of high resolution of soft tissue, multilevel imaging, and large field of vision It is one of the best imaging methods for the diagnosis and staging of Journal of Healthcare Engineering prostate cancer [17]. Erefore, we investigated the safety and clinical effect of embolization of the target blood vessels of ruptured prostatic hyperplasia with gelatin sponge particles and embosphere microspheres. Our opinion about this topic is that the embosphere embolic microsphere has a good efficacy and safety in the treatment of prostatic hyperplasia rupture and hemorrhage, with a light adverse reaction, a low probability of recanalization, and little damage to the postoperative prostatic hyperplasia function

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