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Four-Year Impact of Voiding and Storage Symptoms in Patients with Benign Prostatic Hyperplasia Treated with Prostatic Artery Embolization
- Source :
- JVIR: Journal of Vascular and Interventional Radiology, JVIR: Journal of Vascular and Interventional Radiology, Elsevier, 2020, 31, pp.1460-1466. ⟨10.1016/j.jvir.2019.08.034⟩
- Publication Year :
- 2019
-
Abstract
- PURPOSE To study the subscore improvement in International Prostate Symptom Scores (IPSS) after prostatic artery embolization (PAE). MATERIALS AND METHODS A single-center retrospective study was carried out with follow-up from December 2013 to July 2019 in 37 consecutive patients (66.0 ± 8.8 years old) who underwent PAE, comparing resultant scores before and after PAE. IPSS were divided into storage (IPSS-s) subscores and voiding (IPSS-v) subscores. The changes between IPSS-s and IPSS-v at 1, 3, 6, and 12 months' follow-up as well as the last follow-up were compared with baseline scores. The changes in percentages of IPSS-s and IPSS-v and the changes in average IPSS-s-to-total IPSS ratios (IPSS-s/IPSS-t) and IPSS-v-to-IPSS-t ratios (IPSS-v/IPSS-t) were also analyzed. RESULTS In the study population, consisting of 37 patients, IPSS-t significantly decreased from 16.5 ± 7.2 at baseline to 8.3 ± 5.7 at the last follow-up (4 years later) (P < .0001). Additionally, the changes in IPSS-v symptoms were greater than the changes in IPSS-s symptoms at 1, 3, 6, and 12 months' follow-up, reaching a statistical significance at 6 months with a decrease of 72.9% ± 42.4% for IPSS-v and a decrease of 50.1% ± 52.2% for IPSS-s (P = .009). CONCLUSIONS PAE can successfully reduce both IPSS-s and IPSS-v with predominant IPSS-v reduction. The improvements in both subscores were sustained for up to 4 years of follow-up.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
[SDV]Life Sciences [q-bio]
Urology
Prostatic Hyperplasia
urologic and male genital diseases
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Lower Urinary Tract Symptoms
Prostate
Statistical significance
medicine
Humans
Radiology, Nuclear Medicine and imaging
In patient
Aged
Retrospective Studies
business.industry
Retrospective cohort study
Recovery of Function
Hyperplasia
Middle Aged
medicine.disease
Embolization, Therapeutic
Prostatic artery embolization
[SDV] Life Sciences [q-bio]
Urodynamics
medicine.anatomical_structure
Treatment Outcome
030220 oncology & carcinogenesis
Quality of Life
Population study
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15357732 and 10510443
- Volume :
- 31
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Journal of vascular and interventional radiology : JVIR
- Accession number :
- edsair.doi.dedup.....4c89b3ea45830b66bc0863bc83b4e437