Article ; Online: Prostatic artery embolization in people with spinal cord injury: a safe and effective technique to ease intermittent catheterization in case of concomitant benign prostatic hyperplasia.
Spinal cord series and cases
2022 Volume 8, Issue 1, Page(s) 34
Abstract: Study design: Case series.: Objectives: To assess the safety and efficacy of prostatic artery embolization (PAE) to reduce prostate volume (PV) and facilitate intermittent catheterization (IC) in individuals with concurrent benign prostatic ... ...
| Abstract | Study design: Case series. Objectives: To assess the safety and efficacy of prostatic artery embolization (PAE) to reduce prostate volume (PV) and facilitate intermittent catheterization (IC) in individuals with concurrent benign prostatic hyperplasia (BPH) and spinal cord injury (SCI). Setting: Italian tertiary referral center for people with SCI. Methods: We retrospectively collected all data of individuals undergoing PAE from 2015 to 2020 because of BPH-related problems during IC. PAE was performed under local anesthesia with superselective catheterization of the prostatic arteries. Technical success was defined as bilateral embolization. We determined pre- and post-procedural PV by magnetic resonance imaging. Results: We considered 10 cases with tetraplegia (n = 5) and paraplegia (n = 5). Nine (90%) procedures were technically successful, while we performed monolateral PAE in one case. The median pre-procedural PV was 61 mL. After 6 months, all patients experienced significant PV reduction (median: 19.6%), and 7/7 patients with indwelling urinary catheter started successfully IC. Neither intra- nor post-procedural complications occurred within a median follow-up of 33 months. Conclusions: PAE proved to be a safe and effective treatment for BPH to facilitate IC in people with SCI. Considering the minimal morbidity of PAE, further multi-center studies are mandatory to draw definitive conclusions and warrant its widespread adoption in this population. |
|---|---|
| MeSH term(s) | Arteries ; Catheterization ; Embolization, Therapeutic/methods ; Humans ; Male ; Prostate/blood supply ; Prostatic Hyperplasia/complications ; Prostatic Hyperplasia/therapy ; Retrospective Studies ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/therapy |
| Language | English |
| Publishing date | 2022-03-25 |
| Publishing country | England |
| Document type | Journal Article |
| ISSN | 2058-6124 |
| ISSN (online) | 2058-6124 |
| DOI | 10.1038/s41394-022-00499-6 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.
Inter-library loan at ZB MED
Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.