Open AccessProstatic Artery Embolization: Indications, Preparation, Techniques, Imaging Evaluation, Reporting, and Complications
Author(s) -
Ubenicio Silveira Dias,
Maurício Ruettimann Liberato de Moura,
Públio César Cavalcante Viana,
André Moreira de Assis,
Antônio Sérgio Zafred Marcelino,
Aírton Mota Moreira,
Claudia da Costa Leite,
Giovanni Guido Cerri,
Francisco César Carnevale,
Natally Horvat
Publication year - 2021
Publication title -
radiographics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.866
H-Index - 172
eISSN - 1527-1323
pISSN - 0271-5333
DOI - 10.1148/rg.2021200144
Subject(s) - medicine , lower urinary tract symptoms , hyperplasia , prostatectomy , prostate , bladder outlet obstruction , urology , radiology , urethra , transurethral resection of the prostate , cancer
Benign prostatic hyperplasia (BPH) is a noncancerous growth of the transitional zone of the prostate, which surrounds the prostatic urethra. Consequently, it can cause lower urinary tract symptoms (LUTS) and bladder outlet obstruction symptoms that may substantially reduce a patient's quality of life. Several treatments are available for BPH, including medications such as α-blockers and 5α-reductase inhibitors and surgical options including transurethral resection of the prostate and prostatectomy. Recently, prostatic artery embolization (PAE) has emerged as a minimally invasive treatment option for selected men with BPH and moderate to severe LUTS. Adequate pre- and postprocedural evaluations with clinical examinations and questionnaires, laboratory tests, and urodynamic and imaging examinations (particularly US, MRI, and CT) are of key importance to achieve successful treatment. Considering that the use of PAE has been increasing in tertiary hospital facilities, radiologists and interventional radiologists should be aware of the main technical concepts of PAE and the key features to address in imaging reports in pre- and postprocedural settings. An invited commentary by Lopera is available online. Online supplemental material is available for this article. © RSNA, 2021.