Abstract
Lower urinary tract symptoms (LUTS) due to benign prostatic hypertrophy (BPH) are a very common problem in men ranging from mild urinary symptoms to recurrent urinary tract infections or renal failure. Numerous treatment options are available ranging from conservative medical therapies to more invasive surgical options. Prostate artery embolization (PAE) has emerged as a novel treatment option for this common problem with clinical efficacy comparable to the current surgical gold standard, transurethral resection of the prostate (TURP). PAE offers fewer complications and side effects without a need for general anesthesia or hospitalization. This review discusses the indications for prostate artery embolization in addition to LUTS, patient evaluation in patients with LUTS, PAE technique and clinical results, with an emphasis on efficacy and safety.
Highlights
Lower urinary tract symptoms (LUTS) due to benign prostatic hypertrophy (BPH) is a common problem affecting more than 20% of men between the ages of 30 and 79
TURP is considered the surgical gold standard for treating LUTS related to BPH
Prostate artery embolization is a promising option for treating lower urinary tract symptoms in men with benign prostatic hypertrophy
Summary
Lower urinary tract symptoms (LUTS) due to benign prostatic hypertrophy (BPH) is a common problem affecting more than 20% of men between the ages of 30 and 79. The prevalence increases with age; approximately 80% of men are affected by BPH symptoms by 70 years of age [1]. Conservative therapies such as lifestyle modifications or medical management are generally first line therapies. TURP is considered the surgical gold standard for treating LUTS related to BPH
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