{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:42:08Z","timestamp":1777506128370,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2019,3,7]],"date-time":"2019-03-07T00:00:00Z","timestamp":1551916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prostate artery embolization (PAE) is safe and effective at improving lower urinary tract symptoms (LUTS) in men with benign prostatic hyperplasia (BPH).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the effectiveness of PAE on allowing successful voiding in patients with obstructive BPH (&gt;90 cc) necessitating a urethral catheter for complete urinary retention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Ten consecutive patients with urethral catheters for obstructing BPH were included in the prospective study. Prostate arteries were embolized (Embosphere 300\u2013500 um) and they had an attempted trial without catheter (TWOC) at two weeks and then at two-week intervals thereafter, if unsuccessful. They were clinically reviewed; an MRI was performed three and 12 months after PAE. Quality of life (QOL) questionnaires, International Prostate Symptom Score (IPSS), and International Index of Erectile Function (IIEF) were also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All cases were technically successful (100%). Eight patients had their catheters removed by their three-month follow-up (80%). The two cases that failed their TWOC by three months remained with a urethral catheter at 12-month follow-up. Seven of ten patients had their PAE procedure\u2009&lt;\u20093 months following insertion of the urethral catheter and 100% of these had a successful TWOC before their three-month follow-up. Of the three patients that had their urethral catheter inserted\u2009&gt;\u20093 months before their PAE (range 6\u201324 months), only 1\/3 (33%) became catheter-free by 12 months after PAE. There was a dramatic reduction in LUTS and improvements in QOL indices, IPSS, and IIEF. There was no associated sexual dysfunction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PAE is very successful in allowing spontaneous voiding in men with obstructing BPH requiring a urethral catheter. However, the PAE should be performed as soon as possible after the urethral catheter is inserted. Direct referral from acute urology services or emergency departments once the catheter is inserted are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0284185119834686","type":"journal-article","created":{"date-parts":[[2019,3,7]],"date-time":"2019-03-07T20:34:07Z","timestamp":1551990847000},"page":"1562-1565","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Prostatic artery embolization (PAE) in catheter-dependent patients with large prostatic (BPH) glands (&gt;90 cc): early intervention essential"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7032-5498","authenticated-orcid":false,"given":"Charles R","family":"Tapping","sequence":"first","affiliation":[{"name":"Department of Radiology, Churchill Hospital, Old Road, Headington, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phil","family":"Boardman","sequence":"additional","affiliation":[{"name":"Department of Radiology, Churchill Hospital, Old Road, Headington, Oxford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,3,7]]},"reference":[{"key":"bibr1-0284185119834686","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14249"},{"key":"bibr2-0284185119834686","doi-asserted-by":"crossref","unstructured":"Tapping CR, Macdonald A, Hadi M, et al. Prostatic Artery Embolization (PAE) for Benign Prostatic Hyperplasia (BPH) with hematuria in the absence of an upper urinary tract pathology. Cardiovasc Intervent Radiol 2018;41:1160\u20131164.","DOI":"10.1007\/s00270-018-1941-0"},{"key":"bibr3-0284185119834686","doi-asserted-by":"crossref","unstructured":"Tapping CR, Little MW, Boardman P. Treatment of haematospermia with prostatic artery embolization (PAE). J Clin Urol 2017;11:68\u201369.","DOI":"10.1177\/2051415817722935"},{"key":"bibr4-0284185119834686","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-016-1502-3"},{"key":"bibr5-0284185119834686","doi-asserted-by":"crossref","unstructured":"Little MW, Macdonald AC, Boardman P, et al. Effects of Sublingual Glyceryl Trinitrate Administration on the Quality of Preprocedure CT Angiography Performed to Plan Prostate Artery Embolization. J Vasc Interv Radiol 2018;29:225\u2013228.","DOI":"10.1016\/j.jvir.2017.09.019"},{"key":"bibr6-0284185119834686","doi-asserted-by":"crossref","unstructured":"Hacking N, Vigneswaran G, Maclean D, et\u00a0al. Technical and imaging outcomes from the UK Registry of Prostate Artery Embolization (UK-ROPE) Study: focusing on predictors of clinical success. Cardiovasc Intervent Radiol 2019. doi: 10.1007\/s00270-018-02156-8.","DOI":"10.1007\/s00270-018-02156-8"},{"key":"bibr7-0284185119834686","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-017-1700-7"}],"container-title":["Acta Radiologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0284185119834686","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0284185119834686","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0284185119834686","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:25:20Z","timestamp":1777389920000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0284185119834686"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,7]]},"references-count":7,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1177\/0284185119834686"],"URL":"https:\/\/doi.org\/10.1177\/0284185119834686","relation":{},"ISSN":["0284-1851","1600-0455"],"issn-type":[{"value":"0284-1851","type":"print"},{"value":"1600-0455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,7]]}}}