Prostatic Urethral Lift Vs Prostate Arterial Embolization: Novel Nonablative Strategies in the Management of Lower Urinary Tract Symptoms Secondary to Benign Prostate Hyperplasia.
Prostate urethral lift and prostate arterial embolization represent two evolving techniques with contrasting mechanisms of action (mechanical decompression vs angiographic embolization). Both yield relief of lower urinary tract symptoms over a period of several weeks. They display similar safety profiles with self-limiting pelvic discomfort characterizing the commonest minor adverse event. Both procedures have the potential to be carried out under local anesthesia and in the outpatient setting with suitability for patients with cardiovascular comorbidities. Neither has been found to cause degradation of sexual function. Further randomized studies are needed to delineate the formal position of these techniques in the surgical management of benign prostate hyperplasia.
Ninewells Hospital, Dundee, UK. Electronic address: patrick.jones1@nhs.net.
Patrick
P
Jones
Lister Hospital, Stevenage, UK.
Bhavan Prasad
BP
Rai
College of Medicine, Islamic University of Gaza, Gaza, Palestine.
Omar M
OM
Aboumarzouk
University Hospital Southampton NHS Trust, Southampton, UK.
Bhaskar K
BK
Somani
D019468:Disease Management; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000209:etiology / Q000628:therapy*; D008297:Male; D017410:Practice Guidelines as Topic; D011467:Prostate / Q000098:blood supply*; D011470:Prostatic Hyperplasia / Q000150:complications / Q000628:therapy*; D014521:Urethra / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*