Naidu Sailendra G, Narayanan Harish, Saini Gia, Segaran Nicole, Alzubaidi Sadeer J, Patel Indravadan J, Oklu Rahmi
Division of Vascular & Interventional Radiology, Mayo Clinic Arizona, Phoenix, AZ 85054, USA.
Division of Vascular & Interventional Radiology, Laboratory for Patient Inspired Engineering, Mayo Clinic, Phoenix, AZ 85054, USA.
J Clin Med. 2021 Oct 31;10(21):5139. doi: 10.3390/jcm10215139.
Lower urinary tract symptoms (LUTS) due to benign prostatic hypertrophy (BPH) are a very common problem in men ranging from mild urinary symptoms to recurrent urinary tract infections or renal failure. Numerous treatment options are available ranging from conservative medical therapies to more invasive surgical options. Prostate artery embolization (PAE) has emerged as a novel treatment option for this common problem with clinical efficacy comparable to the current surgical gold standard, transurethral resection of the prostate (TURP). PAE offers fewer complications and side effects without a need for general anesthesia or hospitalization. This review discusses the indications for prostate artery embolization in addition to LUTS, patient evaluation in patients with LUTS, PAE technique and clinical results, with an emphasis on efficacy and safety.
良性前列腺增生（BPH）所致下尿路症状（LUTS）是男性中非常常见的问题，范围从轻微的尿路症状到复发性尿路感染或肾衰竭。有许多治疗选择，从保守的药物治疗到更具侵入性的手术选择。前列腺动脉栓塞术（PAE）已成为治疗这一常见问题的一种新选择，其临床疗效与当前手术金标准经尿道前列腺切除术（TURP）相当。PAE并发症和副作用较少，无需全身麻醉或住院。本综述除讨论LUTS外，还讨论了前列腺动脉栓塞术的适应症、LUTS患者的评估、PAE技术和临床结果，重点是疗效和安全性。
