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The aim of this study is to investigate the safety and efficacy of prostatic artery embolization (PAE) for patients who refuse or are not eligible for surgery with moderate-severe lower urinary tract symptoms or indwelling catheter secondary to benign prostate obstruction due to benign prostatic hyperplasia.
This is a prospective study investigating the safety and efficacy of PAE for patients who refuse or are not eligible for surgery and who suffers from moderate-severe lower urinary tract symptoms or indwelling catheter secondary to benign prostatic obstruction due to benign prostatic hyperplasia. It may form the grounding for further research in the shape of a larger randomised clinical trial.
Our hypothesis is that PAE will eliminate the need for indwelling catheter and improve IPSS 6 months post-procedure.
1, and 6 months follow-up.
Main outcome Ability to void after removal of indwelling catheter
Secondary outcomes International Prostate Symptom Score (IPSS) Quality of Life (QoL) International Index of Erectile Function (IIEF) Prostate volume Peak void flow (Qmax) Post-void residual (PVR) Classify complications according to Society of Interventional Radiology (SIR) guidelines for reporting Prostate-specific antigen (PSA)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prostatic Artery Embolization | Experimental | Embolization of the prostatic arteries to induce necrosis and a reduction of the prostate volume. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Prostatic Artery Embolization | Procedure | The procedure is performed with the patient under local anaesthetic and if necessary sedation. We will be using a percutaneous transfemoral approach, super-selective catheterisation of small prostatic arteries is carried out using microcatheters. Embolisation will be done using microspherical embolic material. |
| Measure | Description | Time Frame |
|---|---|---|
| Ability to void spontaneously | Patient demonstrate the ability to void spontanously after the removal of the indwelling catheter at 6 months | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| IPSS | International Prostate Symptom Score from 0-35, 35 is most severe symptoms | 1, 6 months |
| QoL | Quality of Life scored from 0-6, 6 is worst |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lars Lönn, Professor | Radiologisk Klinik, Rigshospitalet | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rigshospitalet | Copenhagen | 2100 | Denmark |
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| ID | Term |
|---|---|
| D011470 | Prostatic Hyperplasia |
| D059411 | Lower Urinary Tract Symptoms |
| D011469 | Prostatic Diseases |
| D020924 | Urological Manifestations |
| ID | Term |
|---|---|
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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|
| 1, 6 months |
| IIEF | International Index of Erectile Function scored from 0-25, where higher scores represents better erectile function | 1, 6 months |
| PV | Prostate Volume measured by MRI | 1, 6 months |
| PVR | Post-void residual | 1, 6 months |
| Qmax | Peak void flow | 1, 6 months |
| PSA | Prostate-specific antigen | 1, 6 months |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |