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Comprehensive review on current controversies and debate in prostate artery embolization

Comprehensive review on current controversies and debate in prostate artery embolization
Comprehensive review on current controversies and debate in prostate artery embolization
Prostate artery embolization is emerging as one of the most effective therapies amidst a new era of mini- mally invasive benign prostate hyperplasia treatment and technology. However, several current controver- sies remain unanswered which could impact the widespread adoption of this novel and unique transarterial(rather than transurethral) intervention. This is reflected in the differences between the UK (NICE), European (EAU), and American (AUA) guidelines, the latter of which only recommends the use of prostate arteryembolization in a clinical trial setting. The main issues include questions over the duration of symptom response, cost-effectiveness, mechanism of action, patient selection, and other procedural technical consid- erations. These factors are the most pressing faced by proponents of prostate artery embolization, and we seek to highlight why their resolution is important to ensure men with benign prostate hyperplasia seeking a minimally invasive solution are optimally informed and most effectively managed.
BPH, Prostate, artery, controversy, embolization
2149-3057
166-173
Maclean, Drew
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Francis Bryant, Charles Timothy
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Vigneswaran, Ganesh
4e3865ad-1a15-4a27-b810-55348e7baceb
Bryant, Timothy Jc
635afb0a-f05f-4267-9a2a-b0f733ec4afe
Harris, Mark
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Somani, Bhaskar
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Modi, Sachin
caef086a-dda5-418a-ada8-fc042e6e0b18
Maclean, Drew
bf15fb9d-aa6d-4d13-8cae-ede6a3329779
Francis Bryant, Charles Timothy
c7c2276d-d7e4-4181-8c2e-2eb72cbf253d
Vigneswaran, Ganesh
4e3865ad-1a15-4a27-b810-55348e7baceb
Bryant, Timothy Jc
635afb0a-f05f-4267-9a2a-b0f733ec4afe
Harris, Mark
065415f3-96a7-443c-91b4-f75a5945f82b
Somani, Bhaskar
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Modi, Sachin
caef086a-dda5-418a-ada8-fc042e6e0b18

Maclean, Drew, Francis Bryant, Charles Timothy, Vigneswaran, Ganesh, Bryant, Timothy Jc, Harris, Mark, Somani, Bhaskar and Modi, Sachin (2022) Comprehensive review on current controversies and debate in prostate artery embolization. Turkish journal of urology, 48 (3), 166-173. (doi:10.5152/tud.2022.21337).

Record type: Article

Abstract

Prostate artery embolization is emerging as one of the most effective therapies amidst a new era of mini- mally invasive benign prostate hyperplasia treatment and technology. However, several current controver- sies remain unanswered which could impact the widespread adoption of this novel and unique transarterial(rather than transurethral) intervention. This is reflected in the differences between the UK (NICE), European (EAU), and American (AUA) guidelines, the latter of which only recommends the use of prostate arteryembolization in a clinical trial setting. The main issues include questions over the duration of symptom response, cost-effectiveness, mechanism of action, patient selection, and other procedural technical consid- erations. These factors are the most pressing faced by proponents of prostate artery embolization, and we seek to highlight why their resolution is important to ensure men with benign prostate hyperplasia seeking a minimally invasive solution are optimally informed and most effectively managed.

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166-173 - Version of Record
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Accepted/In Press date: 17 March 2022
Published date: 16 May 2022
Additional Information: Publisher Copyright: © Author(s). AVES. All rights reserved.
Keywords: BPH, Prostate, artery, controversy, embolization

Identifiers

Local EPrints ID: 474300
URI: http://eprints.soton.ac.uk/id/eprint/474300
ISSN: 2149-3057
PURE UUID: 46e04375-e9a0-4d04-ae38-bbb97688192e
ORCID for Ganesh Vigneswaran: ORCID iD orcid.org/0000-0002-4115-428X

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Date deposited: 17 Feb 2023 17:38
Last modified: 17 Mar 2024 04:06

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Contributors

Author: Drew Maclean
Author: Charles Timothy Francis Bryant
Author: Timothy Jc Bryant
Author: Mark Harris
Author: Bhaskar Somani
Author: Sachin Modi

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