Transurethral Resection of Prostate, Artery Embolization, Benign Prostatic Hyperplasia, Lower Urinary Tract Symptoms
Conditions
Brief summary
The purpose of this study is to determine whether the transarterial supraselective embolization (TSE) is a technique as effective as transurethral resection of the prostate (TURP) for the treatment of lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of benign prostatic hyperplasia with moderate or severe obstructive lower urinary tract symptoms * Refractory to medical treatment for at least 6 months * Qmax (maximum urinary flow) less than 10 mL/second
Exclusion criteria
* Patients not candidates for transurethral resection of the prostate (TURP) * Advanced atherosclerosis and tortuosity of the iliac arteries * No visualization of the prostatic artery CT angiography study * Urethral stenosis, detrusor failure or neurogenic bladder * Glomerular filtration \< 30 mL/min * Presence of malignant tumor * History of allergy to iodinated contrast * Patients with any other medical or social condition, deemed by the Investigator to be likely to interfere with a patient's ability to sign informed consent, cooperate and participate in the study, or interfere with the interpretation of the results
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum urinary flow (Qmax) | 12 months | Maximum urinary flow (Qmax) measured prior intervention and one year later |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| International Prostate Symptom Score (IPSS) measured before and after the intervention | 12 months | — |
| Reduction in prostate volume | 12 months | — |
| Sexual function | 12 months | Assessed by International Index of Erectile Function (IIEF) prior and and one year after intervention. |
Countries
Spain