Thickness-to-Height ratio of intravesical prostatic protrusion predicts the clinical outcome and morbidity of Prostatic Artery Embolization for Benign Prostatic Hyperplasia
Publication in refereed journal

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摘要Purpose
To evaluate the presence of intravesical prostatic protrusion (IPP) and its thickness-to-height (T/H) ratio as a predictor for the clinical outcome and morbidity of prostatic artery embolization (PAE) for benign prostatic hyperplasia.

Materials and Methods
This was a prospective, single-center, institutional review board-approved study from June 2015 to December 2018 of 82 consecutive patients (age, 53–79 years; median, 66 years) with International Prostate Symptom Score (IPSS) ≥15 and quality-of-life (QOL) score ≥3. The presence of IPP and its T/H ratio were assessed on baseline magnetic resonance imaging for their correlation with the clinical outcomes of suboptimal IPSS (IPSS ≥10) and suboptimal QOL (QOL ≥3) up to 12 months after PAE and the occurrence of post-procedure complications (≤30 days), which caused a certain degree of urinary outflow obstruction. The chi-squared test was used for analysis.

Results
IPP was present in 57 of 82 patients (69.5%). The presence of IPP correlated with the occurrence of post-procedure complications ( P = .009) but not with suboptimal IPSS at 12 months ( P = .758). IPP with a T/H ratio ≤1.3 correlated with suboptimal IPSS at 12 months ( P = .025) and suboptimal QOL at 6 months ( P = .025) and 12 months ( P = .008), as well as with the occurrence of post-procedure complications ( P = .009).

Conclusions
IPP with a T/H ratio ≤1.3 predicted the occurrence of post-procedure complications with urinary obstruction. A T/H ratio ≤1.3 but not the presence of IPP alone predicted the clinical outcome up to 12 months after PAE.
出版社接受日期22.05.2019
著者Yu SCH, Cho CCM, Hung EHY, Zou J, Yuen BTY, Shi L, Chiu PKF, Yee SCH, Ng ACF
期刊名稱JVIR: Journal of Vascular and Interventional Radiology
出版年份2019
月份11
卷號30
期次11
出版社Elsevier
頁次1807 - 1816
國際標準期刊號1051-0443
電子國際標準期刊號1535-7732
語言美式英語
關鍵詞intravesical prostatic protrusion (IPP), benign prostatic hyperplasia (BPH), prostate artery embolization (PAE)

上次更新時間 2020-26-11 於 00:02