French study of prostate embolization performed at the prostate center
A study of 2,000 patients at the Centre d'Embolisation de la Prostate in Paris showed that the embolization technique was more effective than 94%.
Objectives
To evaluate prostatic artery embolization in patients with symptomatic prostatic hypertrophy.
Methodology
Prostate embolization was proposed in 1000 drug-refractory patients refusing RTUP surgery.
Results
12-point improvement in IPSS urinary score and 3-point improvement in Qol quality of life.
No polls. 95% for outpatients and 5% with overnight hospitalization.
No severe complications.
No retrograde ejaculation, two transient hypospermia
80% of patients noted an improvement in their IIEF sex life, with an average of 4 points.
2 patient presented a 2-month deterioration of her sex life
50% of patients experienced prostatic irritation lasting a few days.
4 urinary tract infection treated with antibiotics.
6 transient urinary blockages by a prostatic microfragment
Conclusion
Prostate embolization can be offered as a first-line treatment for benign prostatic hyperplasia, helping to preserve sexuality.
The technique is minimally invasive, ambulatory and effective, with a very low complication rate and no sexual or urinary side effects.
New perspectives for patients with BPH
Benign prostatic hypertrophy (BPH) is a frequent problem for men, causing significant disruption to their quality of life. Innovative research at the Centre d'Embolisation de la Prostate in Paris is opening up promising new horizons for men with BPH.
with this medical condition. The study focuses on the prostate embolizationa significant advance in the field of BPH treatments.
BPH, characterized by a non-cancerous increase in the size of the prostate gland, can lead to symptoms such as urinary disorders and recurrent discomfort. Preliminary research findings suggest that percutaneous direct puncture may offer more effective and less invasive solutions to alleviate symptoms associated with BPH.
Comparison with other treatments
Embolization versus traditional surgery
When evaluating therapeutic approaches to benign prostatic hyperplasia, embolization is emerging as an alternative to conventional surgery, notably transurethral resection of the prostate (TURP). This method is distinguished by its minimally invasive nature, offering significant advantages. The embolization procedure is characterized by accelerated recovery for patients, reducing the risk of post-operative complications. It also allows shorter hospital stays, often on an outpatient basis in most cases.
Embolization, as an innovative option, offers a different approach to the management of benign prostatic hyperplasia. Compared with traditional surgical procedures, it guarantees a less invasive intervention, offering patients benefits such as rapid recovery, reduced risk of complications, and shorter hospital stays, sometimes even on an outpatient basis.
Preserving sexual function
A crucial point to emphasize is the preservation of sexual function after embolization. Unlike some surgical procedures, prostate embolization is associated with an exceptionally low rate of retrograde ejaculation. Furthermore, the results of the International Index of Erectile Function (IIEF) show a significant improvement in sexual life in 80% of patients.
Safety and Tolerability: A remarkable record
No major complications
The study results underline the safety of the procedure, with no severe complications reported. This confirms embolization's position as a safe and well-tolerated treatment, offering patients a reassuring alternative to more invasive procedures.
Temporary side effects
Although some patients have reported short-term prostatic irritation, it's essential to note that these side effects are generally temporary. Furthermore, urinary tract infections treated with antibiotics and transient urinary blockages remain rare incidents.
Technological developments and ongoing research
As prostate embolization shows promise, ongoing research in the field is paving the way for technological developments. Continuous improvements in the technique can be anticipated, with a commitment to optimizing results and further personalizing treatment to the specific needs of each patient.
Conclusion: An optimistic future for BPH treatment
In conclusion, the positive results of this study suggest that prostate embolization can be considered as a first-line treatment option for patients suffering from benign prostatic hyperplasia. This minimally invasive technique, performed on an outpatient basis in most cases, offers high efficacy while preserving patients' sexual quality of life, making it an attractive treatment option for the future.
FREQUENTLY ASKED QUESTIONS
What is prostatic artery embolization (PAE)?
Prostatic artery embolization (PAE) is a non-surgical medical procedure used to treat benign prostatic hyperplasia (BPH). It selectively blocks the prostatic arteries with particles, reducing blood flow and causing the prostate to shrink.
Why is prostatic artery embolization performed?
EAP is performed to treat BPH symptoms such as urinary frequency, difficulty in urinating and incontinence. This less invasive alternative to surgery offers advantages such as faster recovery.
How is prostatic artery embolization performed?
During the procedure, a catheter is inserted into the femoral artery to guide embolizing particles to the prostatic arteries. This procedure reduces the blood supply to the prostate, thereby promoting its shrinkage.
What are the advantages of prostatic artery embolization over other treatments?
EAP offers advantages such as shorter hospital stay, faster recovery, and potentially fewer complications than traditional surgical treatments. It may be an option for patients who are not candidates for surgery.
What are the risks and side effects associated with this procedure?
Although considered safe, risks such as infection, bleeding or allergic reactions may occur. Patients may experience temporary symptoms such as pelvic pain or urinary irritation after the procedure.
Who is an ideal candidate for prostatic artery embolization?
Ideal candidates are usually men with moderate to severe BPH symptoms who have not responded to drug therapy. The final decision depends on the specialist's assessment.
What is the recovery period after prostatic artery embolization?
Most patients can resume their normal activities after a few days, although temporary effects such as pain may be experienced. Full results may take a few weeks, with gradual improvement in urinary symptoms.
Are there any contraindications to prostatic artery embolization?
Certain medical conditions may render a patient ineligible, such as coagulation problems, active infections, or a history of severe allergies.
Does prostatic artery embolization cause erectile dysfunction or other sexual complications?
Although rare, some patients may experience temporary problems such as ejaculation disorders. The majority, however, report no significant changes in their sexual function.
How long does the beneficial effect of prostatic artery embolization last?
Benefits may vary, but many patients experience a significant improvement in urinary symptoms that can last for several years. However, individual factors may influence the durability of results.
Is prostatic artery embolization covered by health insurance?
Insurance coverage varies according to location, type of insurance and the insurer's specific policy. It is advisable to check with your insurance company prior to the procedure to understand the level of coverage and any personal costs involved.
Hello
The answer to the question about the durability of results is too evasive. I imagine that this important aspect had to be assessed more precisely in the Prostate Embolization Center study. I'd like to know whether it's 1 year or 10 years.
Subsidiary question: are there any other studies conducted by other scientific centers?
Thanks in advance
Good morning, sir,
There are over 1,500 scientific texts on prostate embolization and hundreds of studies demonstrating the effectiveness and durability of this technique.
This technique has become the benchmark in the UK and the USA.
Kind regards
The CEAP team
Bjr after how many days can we have sexual relations after embolization?
Hello,
You can have sex 72 hours later
Kind regards
CEAP team