Prostate Artery Embolization Outcomes
Comparison to Other Procedures
- At 3 months, Aquablation results in less prostate volume reduction (31%) compared to TURP (44%) (p=0.007) 1, 2
- 5-alpha-reductase inhibitors (5-ARIs) like finasteride and dutasteride typically produce a 15-25% reduction in prostate size at six months, which is less than what is typically achieved with PAE 3, 4, 5
Clinical Guidelines and Recommendations
- The American Urological Association (AUA) currently does not recommend PAE for the treatment of lower urinary tract symptoms/BPH outside the context of a clinical trial (Expert Opinion) 1, 2
- The AUA cites concerns about the quality of available evidence, including lack of randomization in many studies, high levels of selection bias, and absence of standard inclusion/exclusion criteria 1, 2