scholarly journals Efficacy and safety of prostate artery embolization for benign prostatic hyperplasia: an observational study and propensity-matched comparison with transurethral resection of the prostate (the UK-ROPE study)

2018 ◽  
Vol 122 (2) ◽  
pp. 270-282 ◽  
Author(s):  
Alistair F. Ray ◽  
John Powell ◽  
Mark J. Speakman ◽  
Nicholas T. Longford ◽  
Ranan DasGupta ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Observational Study ◽  
Transurethral Resection ◽  
Prostatic Hyperplasia ◽  
Efficacy And Safety ◽  
Artery Embolization ◽  
Prostate Artery Embolization ◽  
The Uk ◽  
Matched Comparison

scholarly journals An Updated Meta-Analysis of the Efficacy and Safety of Prostatic Artery Embolization vs. Transurethral Resection of the Prostate in the Treatment of Benign Prostatic Hyperplasia

2021 ◽  
Vol 8 ◽  
Author(s):  
Zhunan Xu ◽  
Zhongbao Zhou ◽  
Yingmei Mu ◽  
Tong Cai ◽  
Zhenli Gao ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Transurethral Resection ◽  
Meta Analysis ◽  
Specific Antigen ◽  
Prostatic Hyperplasia ◽  
Transurethral Resection Of Prostate ◽  
Efficacy And Safety ◽  
Artery Embolization ◽  
Prostatic Artery Embolization ◽  
Prostatic Artery

Background: Prostatic artery embolization (PAE) in the treatment of benign prostatic hyperplasia (BPH) has been introduced into clinical practice, but conclusive evidence of efficacy and safety has been lacking.Objective: To compare the efficacy and safety of prostatic artery embolization (PAE) vs. transurethral resection of prostate (TURP), we performed a meta-analysis of clinical trials.Methods: We searched randomized controlled trials (RCTs) from Pubmed, Embase, Wanfang, and CNKI from January 2000 to December 2020 and used RevMan 5.0 to analyze the data after five RCTs were included.Results: The reducing of prostate volume (PV) [Median mean (MD) 14.87; 95% confidence interval (CI) 7.52–22.22; P < 0.0001] and the increasing of maximum flow rate in free uroflowmetry (Qmax) (MD 3.73; 95% CI 0.19–7.27; P = 0.004) were more obvious in TURP than in PAE; however, the rate of lower sexual dysfunction [odds ratio (OR) 0.12; 95% CI 0.05–0.30; P < 0.00001] was lower in PAE compared with TURP. Meanwhile, no conspicuous difference in International Prostate Symptoms Score (IPSS) score (MD 1.42; 95% CI −0.92 to 3.75; P = 0.23), quality of life (Qol) score (MD 0.21; 95% CI −0.31 to 0.73; P = 0.43), post void residual (PVR) (MD 21.16; 95% CI −5.58 to 47.89; P = 0.12), prostate-specific antigen (PSA) (MD 0.56; 95% CI −0.15 to 1.27; P = 0.12), and complications (OR 0.90; 95% CI 0.20–4.05; P = 0.89) between PAE and TURP group was shown.Conclusion: PAE may replace TURP as an alternative treatment for Benign prostatic hyperplasia (BPH) patients who do not want to have surgery or with operational contraindications.

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