N40
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Men > 40 years of age 2. Patients referred to interventional radiology for PAE. 3. Written informed consent 4. Ability to meet the requirements of the study procedures.
Exclusion criteria
Exclusion criteria: 1. Prior surgical BPH therapy 2. Suspicion of clinically significant prostate cancer 3. Subject is ineligible for pelvic angiography 4. History of urethral stricture or its treatment 5. Known or suspected neurogenic bladder dysfunction 6. Contraindication to intravascular iodinated contrast, e.g., allergies or severely elevated creatinine/renal failure 7. Uncorrected coagulopathy 8. Allergy to one of the intended embolics 9. Mental status precluding performance of the study or obtaining informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| International Prostate Symptom Score (IPSS) - Absolute and relative changes in IPSS score [time frames: baseline, 3, 6, 12, 18, and 24 months] | — |
Secondary
| Measure | Time frame |
|---|---|
| a. Number of adverse events (AE). b. Radiation exposure to patients and staff (dose-area product [DAP], in Gy cm(2) and fluoroscopy time [FT] in minutes). c. Degree of reduction in prostate size, perfusion and stiffness assessed by MRI [time frame: baseline, 12 and 24 months]. d. Change in residual urine volume after voiding (PVR) [time frames: baseline, 3, 6, 12, and 24 months]. e. Change in prostate specific antigen (PSA) [time frame: baseline, 12, and 24 months]. f. International Index of Erectile Function (IIEF-5) absolute and relative changes in IIEF-5 score [time frames: baseline, 3, 6, 12, 18, and 24 months]. g. Change in need for prostate-specific medications [time frame: baseline, 3, 6, 12, 18, and 24 months]. h. Change in ejaculation antegrade vs. retrograde [time frame: baseline, 3, 6, 12, 18, and 24 months]. | — |
Countries
France, Germany
Contacts
Charité - Universitätsmedizin Berlin