Benign Prostatic Hyperplasia Clinical Trial
Official title:
Efficacy of Prostatic Artery Embolization (PAE) in Patients With Severe Benign Prostatic Hyperplasia (BPH) As an Alternative to Open Prostatectomy
Purpose: To evaluate the efficacy of prostatic artery embolization (PAE) in patients with
benign prostatic hyperplasia (BPH) and refractory lower urinary tract symptoms (LUTS) in
decreasing the volume of the prostate gland.
Participants: Study participants will be recruited from UNC Urology clinics as well as
referring providers. We will include 15 men who are experiencing LUTS not controlled by
medication with estimated prostate gland weight between 80 and 150 grams.
Procedures (methods): Enrolled patients will undergo the standard work-up for a surgical
prostate procedure. In addition, the patient's arteries will be evaluated with a pelvic CT
angiogram. Then, patients will undergo prostatic artery embolization. Follow up visits will
be scheduled at 1, 3, 6, and 12 months after the procedure.
At the end of the follow-up period, if reduction in prostate gland size has made the patient
eligible for transurethral therapy, they may proceed to such procedure or elect to undergo no
further surgical procedure, depending on residual symptoms. Similarly, if insufficient gland
size reduction has occurred, the patient may elect to pursue OP or no further procedure if
they are no longer bothered by LUTS.
This will be an open label pilot study with a small population undergoing an intervention to determine safety and efficacy. ;
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