Teichgräber Ulf, Aschenbach René, Diamantis Ioannis, von Rundstedt Friedrich-Carl, Grimm Marc-Oliver, Franiel Tobias
Department of Radiology, University Hospital Jena, Germany.
Department of Urology, University Hospital Jena, Germany.
Rofo. 2018 Sep;190(9):847-855. doi: 10.1055/a-0612-8067. Epub 2018 Jul 5.
Prostate artery embolization (PAE) is a new embolization therapy to treat benign prostate syndrome (BPS).
This review article presents the rationale and impact mechanism of PAE, criteria for patient selection, and discusses the anatomy of prostate arteries. The study results are seen in the context of complications and clinical partners.
Important preconditions for successful prostate artery embolization are a strict indication, precise knowledge of the anatomy of the pelvic arteries and advanced interventional-radiological skills. Several studies showed that urological parameters after prostate artery embolization improve at a similar level as for established post-surgical treatments. At the same time, it could be proven that prostate artery embolization has no impact on erectile function and is associated with a relatively low complication rate.
PAE is increasingly developing to an alternative for the established surgical treatments in BPS patients.
· PAE is a new embolization method for treating BPS and represents an alternative to classic urological surgical procedure such as TURP.. · Due to the low caliber of the prostate artery (0.5 - 2 mm), the presence of anatomical variations, and the arteriosclerosis seen in most older men, PAE is a technically challenging embolization method.. · In patients with a high postoperative bleeding risk in classic urological surgical treatment concepts, PAE is a very gentle alternative method..
· Teichgräber U, Aschenbach R, Diamantis I et al. Prostate Artery Embolization: Indication, Technique and Clinical Results. Fortschr Röntgenstr 2018; 190: 847 - 855.
前列腺动脉栓塞术（PAE）是一种治疗良性前列腺综合征（BPS）的新型栓塞疗法。
这篇综述文章介绍了PAE的原理和作用机制、患者选择标准，并讨论了前列腺动脉的解剖结构。研究结果结合并发症和临床相关情况进行阐述。
成功进行前列腺动脉栓塞术的重要前提是严格的适应症、对盆腔动脉解剖结构的精确了解以及先进的介入放射学技术。多项研究表明，前列腺动脉栓塞术后的泌尿学参数改善程度与既定的外科手术后相似。同时，可以证明前列腺动脉栓塞术对勃起功能没有影响，且并发症发生率相对较低。
PAE正日益发展成为BPS患者既定外科治疗的替代方法。
· PAE是一种治疗BPS的新型栓塞方法，是经尿道前列腺电切术（TURP）等经典泌尿外科手术的替代方法。· 由于前列腺动脉口径较小（0.5 - 2毫米）、存在解剖变异以及大多数老年男性存在动脉硬化，PAE是一种技术上具有挑战性的栓塞方法。· 在经典泌尿外科手术治疗理念中术后出血风险高的患者中，PAE是一种非常温和的替代方法。
· Teichgräber U, Aschenbach R, Diamantis I等。前列腺动脉栓塞术：适应症、技术及临床结果。Fortschr Röntgenstr 2018; 190: 847 - 855。
