Prostatic Artery Embolization: Technical Pearls

• Published in: Seminars in interventional radiology Vol. 39; no. 6; pp. 555 - 561
• Main Authors: Bhatia, Ansh, Maini, Aneesha, Bhatia, Shivank
• Format: Journal Article
• Language: English
• Published: 333 Seventh Avenue, 18th Floor, New York, NY 10001, USA Thieme Medical Publishers, Inc 01-12-2022
• Series: Men's Health
• Subjects: Review; Review Article; interventional radiology; prostate; embolization; lower urinary tract symptoms; benign prostatic hypertrophy
• ISSN: 0739-9529; 1098-8963
• DOI: 10.1055/s-0042-1759690

Abstract
Benign prostatic hyperplasia (BPH) is a condition that primarily affects men between the fourth and seventh decades of life, occurring due to enlargement of the prostate which subsequently causes compression of the prostatic urethra causing chronic obstruction of the urinary outflow tract. BPH can cause significant quality-of-life issues such as urinary hesitancy, intermittency, decreased urinary stream, a sensation of incomplete emptying, dysuria, urinary retention, hematuria, and nocturia. Several medical and surgical treatment modalities are available for the treatment of lower urinary tract symptoms and other BPH-related sequela; however, increasingly prostate artery embolization is being utilized in this patient population. Technical demands for this procedure in this population can be significant. This article describes the optimal techniques, tricks, and advanced imaging techniques that can be used to achieve desired technical outcomes.