Mohamed Shaker , MD MSIR , MCIRSE , MPAIRS Ass.Prof. of Interventional Radiology Ain Shams University Cairo-Egypt
Building PAE PracticeGEST 2012 , New York , USA
Our team established in June 2012
Building PAE PracticeCo-operation with urologists
Building PAE Practice - Promoting for the technique in your IR clinic and /or establishing a clinic for PAE - Promotion through the media - Promotion through the internet Targeting the patient
Building PAE Practice Promoting for the technique in your IR clinic and /or establishing a clinic for PAE Targeting the patient
Building PAE Practice Promotion through the media Targeting the patient
Newspapers Articles
TV Medical shows
Building PAE Practice Promotion through the internet Targeting the patient
Facebook Page
Facebook Page
Web Sitewww.prostate-eg.com
Our ProtocolPelvic US with measurement of PVRUUrine analysis +/- urine culture and sensitivityPSA ; total and free/totalTRUS MRIUrine flowmetryIPSSQOLCBC , renal function tests , coagulation profile
Our TechniqueUrinary catheter Local anesthesiaUnilateral right femoral approachCatheterize Internal iliac arteries by a 5F Cobra or RUC catheterOblique view Catheterize anterior division.Rotational angiography with cone beam CT Prostatic arteries are selectively catheterized with a 2.7 fr. microcatheter ( Progreat ).Embolization using PVA particles 150 250 m.
Our Technique
ResultsWe performed 22 cases to dateAll cases were technically successful20 cases of bilateral embolization and 2 cases of unilateral embolizationWe have just finished our study including our first 14 cases with follow up at least for 6 months Rest of patients were done during last 6 months and are still under follow up .
Results
Mean IPSS score before PAE was 24.7 and 6 months after PAE was 12.4 with significant P value of 0.0006 .
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12.4285714286IPSpostIPSpost
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Results
Mean prostatic volume before PAE by MRI was 84.6 and 6 months after PAE was 52 with mean volume reduction 38.6 %
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52.0714285714MRI.6MRI.6
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Results
Mean PVRU before PAE was 78.2 and 6 months after PAE was 8.6 with significant P value of 0.0007 .
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PVRU pre78.2
PVRU 129.1
PVRU 318.9
PVRU68.6
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Results
Mean Qmax before PAE was 12.2 and 6 months after PAE was 17 with significant P value of 0.0004 .
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12.2727272727Qmax preQmax pre
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ResultsNo major complication were recorded.Minor complication in the form of fungal cystitis took place in 1 patient (7.1%) and was successfully treated by antifungal drugs with suprapubic cystostomy.
Conclusion- PAE is a breakthrough interventional technique , suggested to be popular as UAE and may replace TURP. PAE is a feasible , safe , and highly effective technique ... Neverthless challenging .
- We need to increase the number of IR doing this technique to make it more popular and increase the awareness of patients thus increasing the support in our battle with the urologists
