Early UK experience of PAE in men with proven bladder outlet obstruction: a novel alternative to TURP?
BAUS ePoster online library. Whitehurst L. 06/26/19; 259503; P13-9
Ms. Lily Whitehurst
Ms. Lily Whitehurst
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Abstract
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INTRODUCTION:
PAE is a new technique for men with LUTS who want an alternative to traditional surgery or medication. UHS has treated men since 2012 using a standardised protocol involving UDS and CTA prior with follow-up at 3 and 12 months. All patients were asked to complete IPSS and IIEF questionnaires and have a PSA pre and post procedure.

METHODS:
The radiology and urology databases were analysed for outcomes related to PAE. Prospective data was also being collected including patients in the ROPE trial and initial pilot studies.

RESULTS:
A total of 120 patients were analysed with data and outcomes with a minimum of 1 year follow-up. The results are summarised in table 1 below. All cases were done as a day case, unless socially unsuitable, under local anaesthetic and catheters were required in less than 5% of cases.

Conclusions:
Our experience to date suggests that PAE is a viable alternative for men with LUTS who may have specific reasons for wanting to avoid TURP/HoLEP, with good outcome data. Sexual function is preserved after with a significant improvement in objective LUTS parameters. Work is ongoing to identify the predictive factors for a good clinical outcome and who benefits most.
INTRODUCTION:
PAE is a new technique for men with LUTS who want an alternative to traditional surgery or medication. UHS has treated men since 2012 using a standardised protocol involving UDS and CTA prior with follow-up at 3 and 12 months. All patients were asked to complete IPSS and IIEF questionnaires and have a PSA pre and post procedure.

METHODS:
The radiology and urology databases were analysed for outcomes related to PAE. Prospective data was also being collected including patients in the ROPE trial and initial pilot studies.

RESULTS:
A total of 120 patients were analysed with data and outcomes with a minimum of 1 year follow-up. The results are summarised in table 1 below. All cases were done as a day case, unless socially unsuitable, under local anaesthetic and catheters were required in less than 5% of cases.

Conclusions:
Our experience to date suggests that PAE is a viable alternative for men with LUTS who may have specific reasons for wanting to avoid TURP/HoLEP, with good outcome data. Sexual function is preserved after with a significant improvement in objective LUTS parameters. Work is ongoing to identify the predictive factors for a good clinical outcome and who benefits most.
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