{"id":1369,"date":"2019-10-26T21:49:43","date_gmt":"2019-10-26T21:49:43","guid":{"rendered":"https:\/\/adenome-prostate.com\/?p=1369"},"modified":"2026-09-08T13:57:25","modified_gmt":"2026-09-08T13:57:25","slug":"successful-prostate-embolization","status":"publish","type":"post","link":"https:\/\/adenome-prostate.com\/en\/reussite-embolisation-prostate\/","title":{"rendered":"Study on prostatic artery embolization"},"content":{"rendered":"\n[et_pb_section fb_built=\u00a0\u00bb1″ custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.8″ _module_preset=\u00a0\u00bb2d6f3396-61d8-4125-9554-1b7a9ff2e874″ background_color=\u00a0\u00bb#E6EDEB\u00a0\u00bb background_enable_color=\u00a0\u00bbon\u00a0\u00bb custom_padding=\u00a0\u00bb|15px||15px|false|true\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb|50px||50px|false|true\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|10px||10px|false|true\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb89%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_padding=\u00a0\u00bb41px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.8″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb–et_global_body_font||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#000000″ text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_font=\u00a0\u00bbEpilogue||||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#000C11″ header_2_font=\u00a0\u00bbEpilogue|600|||||||\u00a0\u00bb header_2_text_color=\u00a0\u00bb#000C11″ header_3_font=\u00a0\u00bbEpilogue|600|||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bb#000C11″ custom_padding=\u00a0\u00bb|0px||0px|false|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]

L\u2019embolisation des art\u00e8res prostatiques est une technique mini-invasive utilis\u00e9e pour traiter les sympt\u00f4mes li\u00e9s \u00e0 l\u2019hypertrophie b\u00e9nigne de la prostate (HBP). Mais une question revient souvent chez les patients qui envisagent cette intervention : <\/span>les r\u00e9sultats sont-ils durables dans le temps ?<\/span><\/strong><\/p>\n

Une \u00e9tude portant sur <\/span>1 550 patients<\/span><\/strong>, suivis jusqu\u2019\u00e0 dix ans apr\u00e8s leur embolisation, apporte des \u00e9l\u00e9ments particuli\u00e8rement int\u00e9ressants. Les r\u00e9sultats montrent une am\u00e9lioration durable des sympt\u00f4mes urinaires et de la qualit\u00e9 de vie, avec un taux de succ\u00e8s clinique qui reste \u00e9lev\u00e9 plusieurs ann\u00e9es apr\u00e8s l\u2019intervention.<\/span><\/p>\n

Une \u00e9tude men\u00e9e aupr\u00e8s de 1 550 patients<\/span><\/h2>\n

Les r\u00e9sultats ont \u00e9t\u00e9 pr\u00e9sent\u00e9s par le radiologue interventionnel Tiago Bilhim lors du congr\u00e8s annuel 2019 de la Cardiovascular and Interventional Radiological Society of Europe (CIRSE).<\/span><\/p>\n

L\u2019objectif \u00e9tait d\u2019\u00e9valuer les r\u00e9sultats de l\u2019embolisation des art\u00e8res prostatiques chez des hommes pr\u00e9sentant une hypertrophie b\u00e9nigne de la prostate associ\u00e9e \u00e0 des sympt\u00f4mes urinaires mod\u00e9r\u00e9s \u00e0 s\u00e9v\u00e8res.<\/span><\/p>\n

L\u2019\u00e9tude a analys\u00e9 les donn\u00e9es de <\/span>1 550 patients trait\u00e9s entre mars 2009 et f\u00e9vrier 2019<\/span><\/strong>.<\/span><\/p>\n

Quels \u00e9l\u00e9ments ont \u00e9t\u00e9 \u00e9valu\u00e9s ?<\/span><\/h3>\n

Les chercheurs ont suivi plusieurs indicateurs permettant de mesurer \u00e0 la fois les sympt\u00f4mes ressentis par les patients et les r\u00e9sultats objectifs du traitement :<\/span><\/p>\n

    \n
  • le score IPSS, qui mesure la s\u00e9v\u00e9rit\u00e9 des sympt\u00f4mes urinaires ;<\/span><\/li>\n
  • la qualit\u00e9 de vie ;<\/span><\/li>\n
  • la fonction \u00e9rectile \u00e0 travers le score IIEF-5 ;<\/span><\/li>\n
  • le volume de la prostate ;<\/span><\/li>\n
  • le d\u00e9bit urinaire maximal ;<\/span><\/li>\n
  • le volume d\u2019urine restant dans la vessie apr\u00e8s la miction ;<\/span><\/li>\n
  • le taux de PSA.<\/span><\/li>\n<\/ul>\n

    Ces param\u00e8tres ont \u00e9t\u00e9 \u00e9valu\u00e9s avant l\u2019embolisation, puis \u00e0 un mois, six mois et douze mois apr\u00e8s l\u2019intervention. Un suivi annuel a ensuite \u00e9t\u00e9 r\u00e9alis\u00e9 chez certains patients pendant une p\u00e9riode pouvant atteindre dix ans.<\/span><\/p>\n

    Des r\u00e9sultats qui se maintiennent dans le temps<\/span><\/h2>\n

    L\u2019un des principaux enseignements de cette \u00e9tude concerne la durabilit\u00e9 de l\u2019am\u00e9lioration obtenue apr\u00e8s embolisation.<\/span><\/p>\n

    \u00c0 court terme : 88,1 % de succ\u00e8s clinique<\/span><\/h3>\n

    Entre un et douze mois apr\u00e8s l\u2019intervention, le taux moyen de succ\u00e8s clinique rapport\u00e9 \u00e9tait de <\/span>88,1 %<\/span><\/strong>.<\/span><\/p>\n

    Cette p\u00e9riode correspond g\u00e9n\u00e9ralement au moment o\u00f9 la r\u00e9duction progressive du volume prostatique commence \u00e0 produire une am\u00e9lioration nette des sympt\u00f4mes urinaires.<\/span><\/p>\n

    Les patients peuvent notamment constater :<\/span><\/p>\n

      \n
    • un jet urinaire plus puissant ;<\/span><\/li>\n
    • une diminution des envies fr\u00e9quentes d\u2019uriner ;<\/span><\/li>\n
    • moins de r\u00e9veils nocturnes ;<\/span><\/li>\n
    • une meilleure sensation de vidange de la vessie.<\/span><\/li>\n<\/ul>\n

      Entre deux et cinq ans : 85,1 % de succ\u00e8s<\/span><\/h3>\n

      \u00c0 moyen terme, c\u2019est-\u00e0-dire entre deux et cinq ans apr\u00e8s l\u2019embolisation, le taux moyen de succ\u00e8s clinique restait de <\/span>85,1 %<\/span><\/strong>.<\/span><\/p>\n

      La diminution observ\u00e9e par rapport \u00e0 la premi\u00e8re ann\u00e9e appara\u00eet donc limit\u00e9e.<\/span><\/p>\n

      Ces r\u00e9sultats sugg\u00e8rent que, lorsqu\u2019un patient r\u00e9pond favorablement \u00e0 l\u2019embolisation, l\u2019am\u00e9lioration peut se maintenir plusieurs ann\u00e9es.<\/span><\/p>\n

      Entre six et dix ans : 76,8 % de succ\u00e8s clinique<\/span><\/h3>\n

      Chez les patients disposant d\u2019un suivi compris entre six et dix ans, le taux moyen de succ\u00e8s clinique rapport\u00e9 \u00e9tait encore de <\/span>76,8 %<\/span><\/strong>.<\/span><\/p>\n

      M\u00eame si une diminution progressive de l\u2019efficacit\u00e9 peut appara\u00eetre avec les ann\u00e9es, les r\u00e9sultats observ\u00e9s indiquent qu\u2019une proportion importante des patients conserve un b\u00e9n\u00e9fice clinique \u00e0 long terme.<\/span><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1″ custom_padding_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.8″ _module_preset=\u00a0\u00bb2d6f3396-61d8-4125-9554-1b7a9ff2e874″ background_color=\u00a0\u00bb#000C11″ background_enable_color=\u00a0\u00bbon\u00a0\u00bb custom_padding=\u00a0\u00bb|15px||15px|false|true\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb|50px||50px|false|true\u00a0\u00bb custom_padding_phone=\u00a0\u00bb|10px||10px|false|true\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.27.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb width_tablet=\u00a0\u00bb100%\u00a0\u00bb width_phone=\u00a0\u00bb89%\u00a0\u00bb width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb max_width=\u00a0\u00bb100%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_padding=\u00a0\u00bb41px|||||\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.8″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb–et_global_body_font||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb text_font_size=\u00a0\u00bb15px\u00a0\u00bb header_font=\u00a0\u00bbEpilogue||||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#000C11″ header_2_font=\u00a0\u00bbEpilogue|600|||||||\u00a0\u00bb header_2_text_color=\u00a0\u00bb#E6EDEB\u00a0\u00bb header_3_font=\u00a0\u00bbEpilogue|600|||||||\u00a0\u00bb header_3_text_color=\u00a0\u00bb#00FFCC\u00a0\u00bb header_4_font=\u00a0\u00bbEpilogue||||||||\u00a0\u00bb header_4_text_color=\u00a0\u00bb#00FFCC\u00a0\u00bb custom_padding=\u00a0\u00bb|0px||0px|false|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]

      Une am\u00e9lioration durable des sympt\u00f4mes urinaires<\/span><\/h2>\n

      Le score IPSS est l\u2019un des principaux outils utilis\u00e9s pour mesurer la s\u00e9v\u00e9rit\u00e9 des sympt\u00f4mes associ\u00e9s \u00e0 une hypertrophie b\u00e9nigne de la prostate.<\/span><\/p>\n

      Plus le score est \u00e9lev\u00e9, plus les troubles urinaires sont importants.<\/span><\/p>\n

      Dans cette \u00e9tude, la diminution moyenne du score IPSS atteignait :<\/span><\/p>\n

        \n
      • 13,5 points \u00e0 court terme<\/span><\/strong> ;<\/span><\/li>\n
      • 14,1 points \u00e0 moyen terme<\/span><\/strong> ;<\/span><\/li>\n
      • 13,9 points \u00e0 long terme<\/span><\/strong>.<\/span><\/li>\n<\/ul>\n

        Ces r\u00e9sultats montrent que l\u2019am\u00e9lioration des sympt\u00f4mes urinaires observ\u00e9e apr\u00e8s l\u2019intervention peut rester relativement stable plusieurs ann\u00e9es apr\u00e8s l\u2019embolisation.<\/span><\/p>\n

        La qualit\u00e9 de vie reste am\u00e9lior\u00e9e jusqu\u2019\u00e0 dix ans<\/span><\/h2>\n

        L\u2019hypertrophie b\u00e9nigne de la prostate ne se limite pas \u00e0 un simple probl\u00e8me de d\u00e9bit urinaire.<\/span><\/p>\n

        Les r\u00e9veils nocturnes r\u00e9p\u00e9t\u00e9s, les envies urgentes, la n\u00e9cessit\u00e9 de rechercher constamment des toilettes ou la sensation de mauvaise vidange de la vessie peuvent avoir un impact important sur le sommeil et les activit\u00e9s quotidiennes.<\/span><\/p>\n

        L\u2019\u00e9tude montre \u00e9galement une am\u00e9lioration durable du score de qualit\u00e9 de vie apr\u00e8s embolisation.<\/span><\/p>\n

        Cette am\u00e9lioration \u00e9tait observ\u00e9e aussi bien durant la premi\u00e8re ann\u00e9e que plusieurs ann\u00e9es apr\u00e8s l\u2019intervention.<\/span><\/p>\n

        Une r\u00e9duction durable du volume de la prostate<\/span><\/h2>\n

        L\u2019embolisation agit en r\u00e9duisant s\u00e9lectivement l\u2019apport sanguin d\u2019une partie de la prostate.<\/span><\/p>\n

        Priv\u00e9 d\u2019une partie de sa vascularisation, le tissu prostatique diminue progressivement de volume.<\/span><\/p>\n

        Dans cette \u00e9tude, cette r\u00e9duction \u00e9tait encore observable plusieurs ann\u00e9es apr\u00e8s le traitement.<\/span><\/p>\n

        La diminution moyenne du volume prostatique \u00e9tait d\u2019environ <\/span>18,3 cm\u00b3 \u00e0 court terme<\/span><\/strong> et de <\/span>16,9 cm\u00b3 \u00e0 long terme<\/span><\/strong>.<\/span><\/p>\n

        Cette r\u00e9duction du volume contribue \u00e0 diminuer la compression exerc\u00e9e sur l\u2019ur\u00e8tre et ainsi \u00e0 faciliter le passage des urines.<\/span><\/p>\n

        Quels r\u00e9sultats pour les tr\u00e8s grosses prostates ?<\/span><\/h2>\n

        L\u2019embolisation pr\u00e9sente \u00e9galement un int\u00e9r\u00eat chez certains patients dont la prostate est particuli\u00e8rement volumineuse.<\/span><\/p>\n

        Dans cette \u00e9tude, <\/span>312 patients avaient une prostate sup\u00e9rieure \u00e0 100 ml<\/span><\/strong>.<\/span><\/p>\n

        Les taux de succ\u00e8s clinique rapport\u00e9s dans ce groupe \u00e9taient de :<\/span><\/p>\n

          \n
        • 80,7 % \u00e0 court terme<\/span><\/strong> ;<\/span><\/li>\n
        • 77,6 % \u00e0 moyen terme<\/span><\/strong> ;<\/span><\/li>\n
        • 75,3 % \u00e0 long terme<\/span><\/strong>.<\/span><\/li>\n<\/ul>\n

          Ces donn\u00e9es montrent qu\u2019un volume prostatique important n\u2019emp\u00eache pas n\u00e9cessairement d\u2019obtenir une am\u00e9lioration durable apr\u00e8s embolisation.<\/span><\/p>\n

          Le choix du traitement reste toutefois individuel et d\u00e9pend notamment de l\u2019anatomie des art\u00e8res prostatiques, de la s\u00e9v\u00e9rit\u00e9 des sympt\u00f4mes et de l\u2019\u00e9tat g\u00e9n\u00e9ral du patient.<\/span><\/p>\n

          Embolisation et r\u00e9tention urinaire<\/span><\/h2>\n

          L\u2019\u00e9tude comportait \u00e9galement <\/span>156 patients pr\u00e9sentant une r\u00e9tention urinaire aigu\u00eb<\/span><\/strong>, c\u2019est-\u00e0-dire une impossibilit\u00e9 d\u2019uriner normalement n\u00e9cessitant la mise en place d\u2019une sonde.<\/span><\/p>\n

          Apr\u00e8s embolisation, <\/span>140 de ces 156 patients, soit 89,7 %, ont pu retirer leur sonde urinaire entre deux jours et trois mois apr\u00e8s l\u2019intervention<\/span><\/strong>.<\/span><\/p>\n

          Dix patients ont b\u00e9n\u00e9fici\u00e9 d\u2019une nouvelle embolisation et six ont finalement n\u00e9cessit\u00e9 une intervention chirurgicale.<\/span><\/p>\n

          Ces r\u00e9sultats montrent que l\u2019embolisation peut \u00e9galement \u00eatre envisag\u00e9e dans certaines situations de r\u00e9tention urinaire, apr\u00e8s \u00e9valuation m\u00e9dicale sp\u00e9cialis\u00e9e.<\/span><\/p>\n

          Quelles complications ont \u00e9t\u00e9 rapport\u00e9es ?<\/span><\/h2>\n

          Parmi les 1 550 patients \u00e9tudi\u00e9s, les auteurs ont rapport\u00e9 trois complications majeures :<\/span><\/p>\n

            \n
          • une isch\u00e9mie de la paroi de la vessie ;<\/span><\/li>\n
          • une douleur p\u00e9rin\u00e9ale persistante pendant trois mois, sans s\u00e9quelle ;<\/span><\/li>\n
          • l\u2019expulsion de fragments prostatiques associ\u00e9e \u00e0 une r\u00e9tention urinaire, finalement trait\u00e9e par r\u00e9section transur\u00e9trale de la prostate.<\/span><\/li>\n<\/ul>\n

            Comme toute intervention m\u00e9dicale, l\u2019embolisation n\u2019est donc pas totalement d\u00e9pourvue de risques.<\/span><\/p>\n

            Elle reste cependant une technique mini-invasive ne n\u00e9cessitant pas d\u2019incision chirurgicale de la prostate.<\/span><\/p>\n

            Une intervention r\u00e9alis\u00e9e par voie art\u00e9rielle<\/span><\/h3>\n

            L\u2019embolisation consiste \u00e0 introduire un microcath\u00e9ter dans les art\u00e8res afin d\u2019atteindre les branches qui vascularisent la prostate.<\/span><\/p>\n

            Dans cette \u00e9tude historique, l\u2019acc\u00e8s \u00e9tait principalement r\u00e9alis\u00e9 par l\u2019art\u00e8re f\u00e9morale.<\/span><\/p>\n

            Les techniques ont depuis \u00e9volu\u00e9 et l\u2019acc\u00e8s par l\u2019art\u00e8re radiale, au niveau du poignet, peut \u00e9galement \u00eatre utilis\u00e9 dans certains centres et chez certains patients.<\/span><\/p>\n

            Le choix de la voie d\u2019abord d\u00e9pend de l\u2019anatomie du patient et des habitudes de l\u2019\u00e9quipe de radiologie interventionnelle.<\/span><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]\n","protected":false},"excerpt":{"rendered":"

            L\u2019embolisation des art\u00e8res prostatiques est une technique mini-invasive utilis\u00e9e pour traiter les sympt\u00f4mes li\u00e9s \u00e0 l\u2019hypertrophie b\u00e9nigne de la prostate (HBP). Mais une question revient souvent chez les patients qui envisagent cette intervention : les r\u00e9sultats sont-ils durables dans le temps ? Une \u00e9tude portant sur 1 550 patients, suivis jusqu\u2019\u00e0 dix ans apr\u00e8s leur […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"795","footnotes":""},"categories":[401],"tags":[],"class_list":["post-1369","post","type-post","status-publish","format-standard","hentry","category-etudes-externes-sur-lembolisation-de-la-prostate"],"yoast_head":"\n\u00c9tude sur l'embolisation des art\u00e8res prostatique - Centre de la prostate - Paris<\/title>\n<meta name=\"description\" content=\"Embolisation de la prostate - Une \u00e9tude men\u00e9e sur 1550 patients montre l'\u00e9fficacit\u00e9 de du traitement de la prostate par embolisation\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/adenome-prostate.com\/en\/successful-prostate-embolization\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c9tude sur l'embolisation des art\u00e8res prostatique - 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