You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy and New Technology II1 Apr 20122027 URODINAMYC FINDINGS AFTER PROSTATIC ARTERY EMBOLIZATION FOR TREATMENT OF URINARY RETENTION RELATED TO BENIGN PROSTATIC HYPERPLASIA Alberto A. Antunes, Francisco Carnevale, Eduardo Muracca, Joaquim Motta_leal_Filho, Sabrina Reis, Luciana Cerri, Ronaldo Baroni, Antônio Marcelino, Geraldo Campos Freire, Giovanni Cerri, and Miguel Srougi Alberto A. AntunesAlberto A. Antunes Sao Paulo, Brazil More articles by this author , Francisco CarnevaleFrancisco Carnevale Sao Paulo, Brazil More articles by this author , Eduardo MuraccaEduardo Muracca Sao Paulo, Brazil More articles by this author , Joaquim Motta_leal_FilhoJoaquim Motta_leal_Filho Sao Paulo, Brazil More articles by this author , Sabrina ReisSabrina Reis Sao Paulo, Brazil More articles by this author , Luciana CerriLuciana Cerri Sao Paulo, Brazil More articles by this author , Ronaldo BaroniRonaldo Baroni Sao Paulo, Brazil More articles by this author , Antônio MarcelinoAntônio Marcelino Sao Paulo, Brazil More articles by this author , Geraldo Campos FreireGeraldo Campos Freire Sao Paulo, Brazil More articles by this author , Giovanni CerriGiovanni Cerri Sao Paulo, Brazil More articles by this author , and Miguel SrougiMiguel Srougi Sao Paulo, Brazil More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2190AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Prostatic artery embolization (PAE) has emerged as an option for treatment of lower urinary tract symptoms (LUTS) related to benign prostatic hyperplasia (BPH). Here we describe the urodynamic findings after PAE in 11 patients with urinary retention due to BPH. METHODS We performed a prospective study including 11 patients with acute urinary retention (AUR) due to BPH who were waiting for surgical treatment. Patients underwent physical examination, PSA measurement, transrectal US and MRI. International Prostate Symptom Score (IPSS), QoL and urodynamic testing were used to assess the outcome. PAE was performed under local anesthesia through the femoral artery. Urodynamic analysis were performed after a median 12 months (1–15) follow-up period. Ages ranged from (59 to 78, median 68.5 years) and prostate size ranged from 30-90 grams (median 72 grams). RESULTS Twelve PAE procedures using 300-500ìm Embosphere® Microspheres were performed in 11 patients, and clinical success (catheter removal and symptoms improvement) was 91% (10/11 patients). Patients urinated spontaneously from 4-25 days (mean, 12.1) after catheter removal. Urodynamic findings after PAE showed that maximum bladder capacity and maximum flow rates improved significantly. Bladder complacence and post-void residual (PVR) volume improved with marginally significant results. An overactive bladder was found in 63 and 45% of cases pre and post-PAE respectively (table). Bladder outlet obstruction index (BOOI) showed values > 40 in 100% of cases pre-embolization. After PAE, only 36% of cases were > 40, 27% were between 20 and 40, and 36% were < 20 (graphic). CONCLUSIONS PAE is an effective method for treatment of AUR due to BPH. Most urodynamic parameters are improved after treatment and a BOOI < 40 can be observed in 76% of cases. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e818 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alberto A. Antunes Sao Paulo, Brazil More articles by this author Francisco Carnevale Sao Paulo, Brazil More articles by this author Eduardo Muracca Sao Paulo, Brazil More articles by this author Joaquim Motta_leal_Filho Sao Paulo, Brazil More articles by this author Sabrina Reis Sao Paulo, Brazil More articles by this author Luciana Cerri Sao Paulo, Brazil More articles by this author Ronaldo Baroni Sao Paulo, Brazil More articles by this author Antônio Marcelino Sao Paulo, Brazil More articles by this author Geraldo Campos Freire Sao Paulo, Brazil More articles by this author Giovanni Cerri Sao Paulo, Brazil More articles by this author Miguel Srougi Sao Paulo, Brazil More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...