A 66-years old male patient presents with lower urinary tract symptoms, mostly due to obstructive symptoms, and an enlarged prostate with 80 cm3, with a broad-based median lobe, suggestive of benign prostatic obstruction (BPO). Trans-urethral resection of the prostate (TURP) was proposed. However, the patient desired to preserve ejaculatory function and was afraid of a potential negative impact on erectile function. Thus, the patient inquired about minimally invasive therapies (MITs) as alternatives to TURP. In this review, currently available MITs for BPO are described including prostatic artery embolization, water vapor thermal therapy (Rezum®), prostatic urethral lift, iTIND® (temporary implantable device) and aquablation (Aquabeam®). Focus is given on the description of the technique, level of evidence and advantages over conventional surgical options.
Cardiovascular and interventional radiology. 2022 Jan 18 [Epub ahead of print]
Tiago Bilhim, Patrick Betschart, Pavel Lyatoshinsky, Gautier Müllhaupt, Dominik Abt
Department of Radiology, Saint Louis Hospital and NOVA Medical School, Lisbon, Portugal. ., Department of Urology, School of Medicine, University of St. Gallen, St. Gallen, Switzerland., Department of Urology, Spitalzentrum Biel/Centre Hospitalier Bienne, Bienne, Switzerland.