PAE 的主要優勢
對於患有良性前列腺增生 (BPH) 的男性來說，PAE 是一種安全的治療選擇，並且與其他微創手術一樣，與傳統的開放性手術相比具有顯著的優勢。 PAE 一年後，平均前列腺大小縮小約 30%，緩解泌尿症狀，保留勃起功能，並提高生活品質。接受 PAE 的男性表示體驗到了高度的滿意度，並且這種滿意度在手術後持續了一年多。 1,2
PAE 的諸多優點
- 微創手術
- 幾乎沒有失血
- 通常作為門診手術進行
- 與手術相比，住院時間更短，恢復時間更快 3
- 與手術相比，不太可能需要導尿 4
- 緩解下泌尿道症狀 (LUTS)，例如尿急感和頻尿感，特別是在夜間（夜尿）、膀胱排空不完全、尿流微弱、間歇性和排尿時用力 5
- 無需手術即可改善 LUTS，且性副作用或失禁的風險較低 5
- 生活品質整體顯著改善
- 使用時不受前列腺大小、尿道狹窄或膀胱容量的限制。 3,6
參考文獻：
- Carnevale, F. C., da Motta - Leal - Filho, J. M., MD, Antunes, A. A., Baroni, R. H., Marcelino, A. S. Z., Cerri, L. M. O., Yoshinaga , E. M., MD, Cerri, G. G., & Srougi, M. (2013). Quality of life and clinical symptom improvement support prostatic artery embolization for patients with acute urinary retention caused by benign prostatic hyperplasia. Journal of Vascular and Interventional Radiology , 24（4）：535-542. DOI: 10.1016/j.jvir.2012.12.019
- Grosso, M., Balderi, A., Arno, M., Sortino, D., Antonietti, A., Pedrazzini, F., Giovinazzo, G., Vinay, C., Maugeri, O., Ambruosi, C., Arena, G. (2015). Prostatic artery embolization in benign prostatic hyperplasia: preliminary results in 13 patients. La Radiologia Medica, 120: 361–368. doi: 10.1007/s11547-014- 0447-3
- Gao, Y. A., Huang, Y., Zhang, R., Yang, Y. D., Zhang, Q., Hou, M., & Wang, Y. (2014). Benign prostatic hyperplasia: prostatic arterial embolization versus transurethral resection of the prostate– a prospective, randomized, and controlled clinical trial. Radiology, 270(3): 920-928. doi: 10.1148/radiol.13122803
- McWilliams, J. P., o, M. D., Rose, S.C., Bagla, S., Caplin, D. M., Cohen, EI, Faintuch, S., Spies, J. B., Saad, W. E., Nikolic, B. (2014). Society of Interventional Radiology position statement: prostate artery embolization for treatment of benign disease of the prostate. Journal of Vascular and Interventional Radiology, 25: 1349-1351. http://dx.doi.org/10.1016/j.jvir.2014.05.005 http://www.scvir.org/clinical/cpg/SIR_Pos_Statmt_PAE_Benign_dis_Prostate.pdf
- Pisco, J., Pinheiro, L. C., Bilhim, T., Duarte, M., Tinto, H. R., Fernandes, L., Santos, V. V., & Oliveira, A. G. (2013). Prostatic arterial embolization for benign prostatic hyperplasia: short - and intermediate - term results. Radiology, 266(2): 668-77. doi: 10.1148/radiol.12111601
- Bhatia, S., Kava, B., Pereira K., Kably, I., Harward, S., & Narayanan, G. (2015). Prostate artery embolization for giant prostatic hyperplasia. Journal of Vascular and Interventional Radiology. 26(10): 1583-1585. doi: 10.1016/j.jvir.2015.05.024
參考文獻：
-
Carnevale, F. C., da Motta-Leal- Filho, J. M., MD, Antunes, A. A., Baroni, R. H., Marcelino, A. S. Z., Cerri, L. M. O., Yoshinaga, E. M., MD, Cerri, G. G., & Srougi, M. (2013). Quality of life and clinical symptom improvement support prostatic artery embolization for patients with acute urinary retention caused by benign prostatic hyperplasia. Journal of Vascular and Interventional Radiology, 24(4): 535-542. doi: 10.1016/j.jvir.2012.12.019
-
Grosso, M., Balderi, A., Arno, M., Sortino, D., Antonietti, A., Pedrazzini, F., Giovinazzo, G., Vinay, C., Maugeri, O., Ambruosi, C., Arena, G. (2015). Prostatic artery embolization in benign prostatic hyperplasia: preliminary results in 13 patients. La Radiologia Medica, 120: 361–368. doi: 10.1007/s11547-014- 0447-3
-
Gao, Y. A., Huang, Y., Zhang, R., Yang, Y. D., Zhang, Q., Hou, M., & Wang, Y. (2014). Benign prostatic hyperplasia: prostatic arterial embolization versus transurethral resection of the prostate– a prospective, randomized, and controlled clinical trial. Radiology, 270(3): 920-928. doi: 10.1148/radiol.13122803
-
McWilliams, J. P., Kuo, M. D., Rose, S.C., Bagla, S., Caplin, D. M., Cohen, E. I., Faintuch, S., Spies, J. B., Saad, W. E., Nikolic, B. (2014). Society of Interventional Radiology position statement: prostate artery embolization for treatment of benign disease of the prostate. Journal of Vascular and Interventional Radiology, 25: 1349-1351. http://dx.doi.org/10.1016/j.jvir.2014.05.005 http://www.scvir.org/clinical/cpg/SIR_Pos_Statmt_PAE_Benign_dis_Prostate.pdf
-
Pisco, J., Pinheiro, L. C., Bilhim, T., Duarte, M., Tinto, H. R., Fernandes, L., Santos, V. V., & Oliveira, A. G. (2013). Prostatic arterial embolization for benign prostatic hyperplasia: short- and intermediate-term results. Radiology, 266(2): 668-77. doi: 10.1148/radiol.12111601
-
Bhatia, S., Kava, B., Pereira, K., Kably, I., Harward, S., & Narayanan, G. (2015). Prostate artery embolization for giant prostatic hyperplasia. Journal of Vascular and Interventional Radiology. 26(10): 1583-1585. doi: 10.1016/j.jvir.2015.05.024
