Skip to main content
Top
Gepubliceerd in: Tijdschrift voor Urologie 4/2016

22-04-2016 | Artikel

Selectieve embolisatie van de arteria prostatica met curatieve intentie als nieuwe behandeling voor LUTS

Auteurs: drs. Linette van Duijn, dr. Lukas C. van Dijk, Bhaskar K. Somani, dr. Stefan M. Haensel

Gepubliceerd in: Tijdschrift voor Urologie | Uitgave 4/2016

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

De transurethrale resectie van de prostaat (TURP) wordt beschouwd als de gouden standaard bij operatieve behandeling voor LUTS ten gevolge van benigne prostaathyperplasie. Deze behandeling kan echter gepaard gaan met een significante morbiditeit, dient onder regionale of algehele anesthesie plaats te vinden en is gecontra-indiceerd bij patiënten met een vitale antistollingsindicatie. Sinds enkele jaren wordt daarom embolisatie van de arteria prostatica (PAE) toegepast als electieve behandeling voor LUTS. Op basis van een literatuurstudie wordt in dit artikel de techniek en de resultaten tot nu toe beschreven.
Op de lange termijn is de procedure bij 72 % van de patiënten effectief. De meest voorkomende complicatie, een urineweginfectie, treedt bij minder dan 5 % van de patiënten op. Ten opzichte van TURP lijkt PAE op de korte termijn inferieur te zijn en gepaard te gaan met meer complicaties. Echter in bepaalde gevallen, bijvoorbeeld bij patiënten met veel comorbiditeiten of met een vitale antistollingsindicatie, kan PAE een veelbelovend alternatief zijn.
Literatuur
1.
go back to reference Reich O, Gratzke C, Bachmann A, Seitz M, Schlenker B, Hermanek P, et al. Morbidity, mortality and early outcome of transurethral resection of the prostate: a prospective multicenter evaluation of 10,654 patients. J Urol. 2008;180(1):246–249.CrossRefPubMed Reich O, Gratzke C, Bachmann A, Seitz M, Schlenker B, Hermanek P, et al. Morbidity, mortality and early outcome of transurethral resection of the prostate: a prospective multicenter evaluation of 10,654 patients. J Urol. 2008;180(1):246–249.CrossRefPubMed
2.
go back to reference Madersbacher S, Marberger M. Is transurethral resection of the prostate still justified? BJU Int. 1999;83(3):227–237.CrossRefPubMed Madersbacher S, Marberger M. Is transurethral resection of the prostate still justified? BJU Int. 1999;83(3):227–237.CrossRefPubMed
3.
go back to reference Rio Tinto H, Martins Pisco J, Bilhim T, Duarte M, Fernandes L, Pereira J, et al. Prostatic artery embolization in the treatment of benign prostatic hyperplasia: short and medium follow-up. Tech Vasc Interv Radiol. 2012;15(4):290–293.CrossRefPubMed Rio Tinto H, Martins Pisco J, Bilhim T, Duarte M, Fernandes L, Pereira J, et al. Prostatic artery embolization in the treatment of benign prostatic hyperplasia: short and medium follow-up. Tech Vasc Interv Radiol. 2012;15(4):290–293.CrossRefPubMed
4.
go back to reference Carnevale FC, Antunes AA. Prostatic artery embolization for enlarged prostates due to benign prostatic hyperplasia. How I do it. Cardiovasc Intervent Radiol. 2013;36(6):1452–1463.CrossRefPubMed Carnevale FC, Antunes AA. Prostatic artery embolization for enlarged prostates due to benign prostatic hyperplasia. How I do it. Cardiovasc Intervent Radiol. 2013;36(6):1452–1463.CrossRefPubMed
5.
go back to reference Carnevale FC, da Motta-Leal-Filho JM, Antunes AA, Baroni RH, Marcelino AS, Cerri LM, et al. Quality of life and clinical symptom improvement support prostatic artery embolization for patients with acute urinary retention caused by benign prostatic hyperplasia. J Vasc Interv Radiol. 2013;24(4):535–542.CrossRefPubMed Carnevale FC, da Motta-Leal-Filho JM, Antunes AA, Baroni RH, Marcelino AS, Cerri LM, et al. Quality of life and clinical symptom improvement support prostatic artery embolization for patients with acute urinary retention caused by benign prostatic hyperplasia. J Vasc Interv Radiol. 2013;24(4):535–542.CrossRefPubMed
6.
go back to reference Bischoff W, Goerttler U. Successful intra-arterial embolization of bleeding carcinoma of the prostate (author’s transl). Urologe A. 1977;16(2):99–102.PubMed Bischoff W, Goerttler U. Successful intra-arterial embolization of bleeding carcinoma of the prostate (author’s transl). Urologe A. 1977;16(2):99–102.PubMed
7.
go back to reference Appleton DS, Sibley GN, Doyle PT. Internal iliac artery embolisation for the control of severe bladder and prostate haemorrhage. Br J Urol. 1988;61(1):45–47.CrossRefPubMed Appleton DS, Sibley GN, Doyle PT. Internal iliac artery embolisation for the control of severe bladder and prostate haemorrhage. Br J Urol. 1988;61(1):45–47.CrossRefPubMed
8.
go back to reference DeMeritt JS, Elmasri FF, Esposito MP, Rosenberg GS. Relief of benign prostatic hyperplasia-related bladder outlet obstruction after transarterial polyvinyl alcohol prostate embolization. J Vasc Interv Radiol. 2000;11(6):767–770.CrossRefPubMed DeMeritt JS, Elmasri FF, Esposito MP, Rosenberg GS. Relief of benign prostatic hyperplasia-related bladder outlet obstruction after transarterial polyvinyl alcohol prostate embolization. J Vasc Interv Radiol. 2000;11(6):767–770.CrossRefPubMed
9.
go back to reference Carnevale FC, Antunes AA, da Motta Leal Filho JM, de Oliveira Cerri LM, Baroni RH, Marcelino AS, et al. Prostatic artery embolization as a primary treatment for benign prostatic hyperplasia: preliminary results in two patients. Cardiovasc Intervent Radiol. 2010;33(2):355–361.CrossRefPubMed Carnevale FC, Antunes AA, da Motta Leal Filho JM, de Oliveira Cerri LM, Baroni RH, Marcelino AS, et al. Prostatic artery embolization as a primary treatment for benign prostatic hyperplasia: preliminary results in two patients. Cardiovasc Intervent Radiol. 2010;33(2):355–361.CrossRefPubMed
10.
go back to reference J AP, Bilhim T, Duarte M, Rio Tinto H, Fernandes L, Martins Pisco J. Patient selection and counseling before prostatic arterial embolization. Tech Vasc Interv Radiol. 2012;15(4):270–275.CrossRef J AP, Bilhim T, Duarte M, Rio Tinto H, Fernandes L, Martins Pisco J. Patient selection and counseling before prostatic arterial embolization. Tech Vasc Interv Radiol. 2012;15(4):270–275.CrossRef
11.
go back to reference Martins Pisco J, Pereira J, Rio Tinto H, Fernandes L, Bilhim T. How to perform prostatic arterial embolization. Tech Vasc Interv Radiol. 2012;15(4):286–289.CrossRefPubMed Martins Pisco J, Pereira J, Rio Tinto H, Fernandes L, Bilhim T. How to perform prostatic arterial embolization. Tech Vasc Interv Radiol. 2012;15(4):286–289.CrossRefPubMed
12.
go back to reference Pisco JM, Rio Tinto H, Campos Pinheiro L, Bilhim T, Duarte M, Fernandes L, et al. Embolisation of prostatic arteries as treatment of moderate to severe lower urinary symptoms (LUTS) secondary to benign hyperplasia: results of short- and mid-term follow-up. Eur Radiol. 2013;23(9):2561–2572.CrossRefPubMed Pisco JM, Rio Tinto H, Campos Pinheiro L, Bilhim T, Duarte M, Fernandes L, et al. Embolisation of prostatic arteries as treatment of moderate to severe lower urinary symptoms (LUTS) secondary to benign hyperplasia: results of short- and mid-term follow-up. Eur Radiol. 2013;23(9):2561–2572.CrossRefPubMed
13.
go back to reference Moreira AM, Marques CF, Antunes AA, Nahas CS, Nahas SC, de Gregorio Pinheiro MA, et al. Transient ischemic rectitis as a potential complication after prostatic artery embolization: case report and review of the literature. Cardiovasc Intervent Radiol. 2013;36(6):1690–1694.CrossRefPubMed Moreira AM, Marques CF, Antunes AA, Nahas CS, Nahas SC, de Gregorio Pinheiro MA, et al. Transient ischemic rectitis as a potential complication after prostatic artery embolization: case report and review of the literature. Cardiovasc Intervent Radiol. 2013;36(6):1690–1694.CrossRefPubMed
14.
go back to reference Wang MQ, Guo LP, Zhang GD, Yuan K, Li K, Duan F, et al. Prostatic arterial embolisation for the treatment of lower urinary tract symptoms due to large (>80 mL) benign prostatic hyperplasia: results of midterm follow-up from Chinese population. BMC Urol. 2015;15(1):33.CrossRefPubMedPubMedCentral Wang MQ, Guo LP, Zhang GD, Yuan K, Li K, Duan F, et al. Prostatic arterial embolisation for the treatment of lower urinary tract symptoms due to large (>80 mL) benign prostatic hyperplasia: results of midterm follow-up from Chinese population. BMC Urol. 2015;15(1):33.CrossRefPubMedPubMedCentral
15.
go back to reference Puppola S. Management of post-embolisation syndrome. In: Kessel D, Ray C (redactie). Transcatheter Embolisation and Therapy. London: Springer; 2009. pag. 129–134. Puppola S. Management of post-embolisation syndrome. In: Kessel D, Ray C (redactie). Transcatheter Embolisation and Therapy. London: Springer; 2009. pag. 129–134.
16.
go back to reference Rassweiler J, Teber D, Kuntz R, Hofmann R. Complications of transurethral resection of the prostate (TURP) – incidence, management, and prevention. Eur Urol. 2006;50(5):969–979, discussion 80.CrossRefPubMed Rassweiler J, Teber D, Kuntz R, Hofmann R. Complications of transurethral resection of the prostate (TURP) – incidence, management, and prevention. Eur Urol. 2006;50(5):969–979, discussion 80.CrossRefPubMed
17.
go back to reference Jones P, Rai BP, Nair R, Somani BK. Current status of prostate artery embolization for lower urinary tract symptoms: review of world literature. Urology. 2015;86(4):676–681CrossRefPubMed Jones P, Rai BP, Nair R, Somani BK. Current status of prostate artery embolization for lower urinary tract symptoms: review of world literature. Urology. 2015;86(4):676–681CrossRefPubMed
18.
go back to reference Gravas S, Bachmann A, Reich O, Roehrborn CG, Gilling PJ, De la Rosette J. Critical review of lasers in benign prostatic hyperplasia (BPH). BJU Int. 2011;107(7):1030–1043.CrossRefPubMed Gravas S, Bachmann A, Reich O, Roehrborn CG, Gilling PJ, De la Rosette J. Critical review of lasers in benign prostatic hyperplasia (BPH). BJU Int. 2011;107(7):1030–1043.CrossRefPubMed
19.
go back to reference Kan CF, Tsu HL, Chiu Y, To HC, Sze B, Chan SWH. A prospective stdy comparing bipolar endoscopic enucleation of prostate with bipolar transurethral resection in saline for management of symptomatic benign prostate enlargement larger than 70 g in a matched cohort. Int Urol Nephrol. 2014;46(3):511–517.CrossRefPubMed Kan CF, Tsu HL, Chiu Y, To HC, Sze B, Chan SWH. A prospective stdy comparing bipolar endoscopic enucleation of prostate with bipolar transurethral resection in saline for management of symptomatic benign prostate enlargement larger than 70 g in a matched cohort. Int Urol Nephrol. 2014;46(3):511–517.CrossRefPubMed
20.
go back to reference Biester K, Skipka G, Jahn R, Buchberger B, Rohde V, Lange S. Systematic review of surgical treatments for benign prostatic hyperplasia and presentation of an approach to investigate therapeutic equivalence (non-inferiority). BJU Int. 2012;109(5):722–730.CrossRefPubMed Biester K, Skipka G, Jahn R, Buchberger B, Rohde V, Lange S. Systematic review of surgical treatments for benign prostatic hyperplasia and presentation of an approach to investigate therapeutic equivalence (non-inferiority). BJU Int. 2012;109(5):722–730.CrossRefPubMed
21.
go back to reference Perera M, Roberts MJ, Doi SAR, Bolton D. Prostatic urethral lift improves urinary symptoms and flow while preserving sexual function for men with benign prostatic hyperplasia: a systematic review and meta-analysis. Eur Urol. 2015;67(4):704–713.CrossRefPubMed Perera M, Roberts MJ, Doi SAR, Bolton D. Prostatic urethral lift improves urinary symptoms and flow while preserving sexual function for men with benign prostatic hyperplasia: a systematic review and meta-analysis. Eur Urol. 2015;67(4):704–713.CrossRefPubMed
Metagegevens
Titel
Selectieve embolisatie van de arteria prostatica met curatieve intentie als nieuwe behandeling voor LUTS
Auteurs
drs. Linette van Duijn
dr. Lukas C. van Dijk
Bhaskar K. Somani
dr. Stefan M. Haensel
Publicatiedatum
22-04-2016
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Urologie / Uitgave 4/2016
Print ISSN: 2211-3037
Elektronisch ISSN: 2211-4718
DOI
https://doi.org/10.1007/s13629-016-0123-6

Andere artikelen Uitgave 4/2016

Tijdschrift voor Urologie 4/2016 Naar de uitgave