PMID- 31047745 OWN - NLM STAT- MEDLINE DCOM- 20190611 LR - 20190613 IS - 2213-0276 (Electronic) IS - 0755-4982 (Linking) VI - 48 IP - 4 DP - 2019 Apr TI - [Prostatic artery embolisation for symptomatic BPH]. PG - 447-453 LID - S0755-4982(19)30154-X [pii] LID - 10.1016/j.lpm.2019.03.009 [doi] AB - Benign Prostatic Hyperplasia (BPH) concerns 50% of men older that 60 Years old and can induce symptoms also earlier. Medical treatment are mostly alpha blockers (AB), 5-alpha reductase inhibitors (5ARI) and phospho-diesterase inhibitors. In case of failure or poor tolerance of drug treatment, surgery can be indicated, after evaluation of the Bladder Outlet Obstruction (BOO), based on urodynamic studies. Endoscopic or open surgery is selected according to the size of the prostate, the expertise of the urologist and patient preference. Surgical treatment is very efficient but carries frequent complications, especially retrograde ejaculation which is very frequent and can compromise fertility and sexual pleasure. Prostatic Artery Embolisation, an outpatient intervention performed by Interventional Radiologists and available in France since 2012 is a new alternative to surgery in case of failure or poor tolerance of medical treatment. It consists in super-selective injection of calibrated micro-particles into both prostatic arteries after femoral artery puncture at the groin. It is safe and efficient and provides appropriate symptomatic improvement BOO related to BPH. CI - Copyright (c) 2019. Published by Elsevier Masson SAS. FAU - Sapoval, Marc AU - Sapoval M AD - HEGP, radiologie interventionnelle vasculaire et oncologique, 75908 Paris, France. Electronic address: marc.sapoval2@aphp.fr. FAU - Dariane, Charles AU - Dariane C AD - HEGP, urologie, 75908 Paris, France. FAU - Pellerin, Olivier AU - Pellerin O AD - HEGP, radiologie interventionnelle vasculaire et oncologique, 75908 Paris, France. FAU - Moussa, Nadia AU - Moussa N AD - HEGP, radiologie interventionnelle vasculaire et oncologique, 75908 Paris, France. FAU - Del Giudice, Constantino AU - Del Giudice C AD - HEGP, radiologie interventionnelle vasculaire et oncologique, 75908 Paris, France. FAU - Kenny, Alberto AU - Kenny A AD - HEGP, radiologie interventionnelle vasculaire et oncologique, 75908 Paris, France. FAU - Thiounn, Nicolas AU - Thiounn N AD - HEGP, urologie, 75908 Paris, France. LA - fre PT - Journal Article PT - Review TT - Traitement des adenomes de la prostate par embolisation. DEP - 20190430 PL - France TA - Presse Med JT - Presse medicale (Paris, France : 1983) JID - 8302490 SB - IM CIN - Presse Med. 2019 Oct;48(10):1205. PMID: 31668418 MH - Arteries MH - *Embolization, Therapeutic MH - Humans MH - Male MH - Prostate/blood supply MH - Prostatic Hyperplasia/diagnosis/*therapy EDAT- 2019/05/03 06:00 MHDA- 2019/06/14 06:00 CRDT- 2019/05/04 06:00 PHST- 2018/10/29 00:00 [received] PHST- 2019/03/22 00:00 [accepted] PHST- 2019/05/03 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2019/05/04 06:00 [entrez] AID - S0755-4982(19)30154-X [pii] AID - 10.1016/j.lpm.2019.03.009 [doi] PST - ppublish SO - Presse Med. 2019 Apr;48(4):447-453. doi: 10.1016/j.lpm.2019.03.009. Epub 2019 Apr 30.