前列腺动脉栓塞术治疗急性尿潴留患者。
Prostate Artery Embolization in Patients With Acute Urinary Retention.
机构信息
Interventional Radiology Department, Assistance Publique - Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Paris, France.
Interventional Radiology Department, Assistance Publique - Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Paris, France.
出版信息
Am J Med. 2019 Nov;132(11):e786-e790. doi: 10.1016/j.amjmed.2019.04.037. Epub 2019 May 17.
BACKGROUND
This prospective study assessed the efficacy of prostate artery embolization after failure of a trial without catheter in patients suffering a first episode of acute urinary retention as a result of benign prostatic hyperplasia (BPH).
METHODS
Patients with failure of a trial without catheter despite alpha-blocker therapy were invited to participate in this protocol. Twenty patients were included in the study, and all underwent prostate artery embolization with calibrated polyvinyl alcohol (PVA) microspheres (Bead Block, BTG Ltd., Farnham, UK).
RESULTS
Successful removal of the indwelling bladder catheter and spontaneous voiding was achieved in 15 of 20 (75%) patients, and the overall clinical success at 6 months after prostate embolization was 14 of 20 (70%). No patient experienced severe adverse events.
CONCLUSIONS
Prostate artery embolization might be a valuable treatment after a failure of a trial without catheter. Further studies are needed to better define its place in this setting.
背景
本前瞻性研究评估了前列腺动脉栓塞术在因良性前列腺增生（BPH）导致首次急性尿潴留而失败的无导管试验后的疗效。
方法
尽管接受了α受体阻滞剂治疗但无导管试验失败的患者被邀请参加该方案。本研究共纳入 20 例患者，所有患者均接受经校准的聚乙烯醇（PVA）微球（Bead Block，BTG Ltd.，Farnham，英国）前列腺动脉栓塞术。
结果
20 例患者中有 15 例（75%）成功拔除留置导尿管并自行排尿，前列腺栓塞后 6 个月的总体临床成功率为 14 例（70%）。无患者发生严重不良事件。
结论
前列腺动脉栓塞术可能是无导管试验失败后的一种有价值的治疗方法。需要进一步的研究来更好地确定其在这种情况下的地位。
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