Tiago Bilhim MD, Presenter: Nothing to Disclose

Joao Martins Pisco MD, Abstract Co-Author: Nothing to Disclose

Luis Campos Pinheiro MD, Abstract Co-Author: Nothing to Disclose

Hugo Alexandre Meireles Rio Tinto MD, Abstract Co-Author: Nothing to Disclose

Sandra Marisa Duarte MD, Abstract Co-Author: Nothing to Disclose

Jorge Rocha Mendes MD, Abstract Co-Author: Nothing to Disclose

1. To review the clinical findings and evaluation of benign prostatic hyperplasia (BPH); 2. To review the main clinical parameters of disease severity; 3. To discuss the pre-embolization work-up; 4. Tips and tricks on how to perform prostatic arterial embolization (PAE); 5. How to perform the follow-up.

• Clinical evaluation of disease severity - International Prostate Symptom Score - IPSS; - Quality of life score – Qol; - International index of erectile function – IIEF; - Uroflowmetry - peak urinary flow – Qmax; Post-void residual volume – PVR. • Pre-embolization Assessment - Clinical data; Prostatic ultrasound; Pelvic Angio MR and Angio CT • PAE – tips and tricks • Clinical and Imaging Follow-up - IPSS; Qol; IIEF - PSA - Qmax; PVR - Prostatic ultrasound and MR 

1. IPSS and Qol are validated questionnaires that evaluate BPH symptom severity; 2. It is important to assess the male sexual function before and after PAE because BPH and many treatment options are associated with sexual dysfunction; 3. Uroflowmetry parameters are essential in evaluating response to treatment; 4. PSA and prostate imaging help exclude possible cancer and evaluate prostatic volume before and after PAE; 4. Pelvic angio MR and angio CT give us detailed anatomy before intervention.

Bilhim, T, Pisco, J, Pinheiro, L, Rio Tinto, H, Duarte, S, Mendes, J, Tips and Tricks on Prostatic Arterial Embolization  .  Radiological Society of North America 2010 Scientific Assembly and Annual Meeting, November 28 - December 3, 2010 ,Chicago IL. http://archive.rsna.org/2010/9007420.html