Early UK experience of PAE in men with proven bladder outlet obstruction: a novel alternative to TURP?
BAUS ePoster online library. Whitehurst L. Jun 26, 2019; 259503; P13-9
Ms. Lily Whitehurst
Ms. Lily Whitehurst
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PAE is a new technique for men with LUTS who want an alternative to traditional surgery or medication. UHS has treated men since 2012 using a standardised protocol involving UDS and CTA prior with follow-up at 3 and 12 months. All patients were asked to complete IPSS and IIEF questionnaires and have a PSA pre and post procedure.

The radiology and urology databases were analysed for outcomes related to PAE. Prospective data was also being collected including patients in the ROPE trial and initial pilot studies.

A total of 120 patients were analysed with data and outcomes with a minimum of 1 year follow-up. The results are summarised in table 1 below. All cases were done as a day case, unless socially unsuitable, under local anaesthetic and catheters were required in less than 5% of cases.

Our experience to date suggests that PAE is a viable alternative for men with LUTS who may have specific reasons for wanting to avoid TURP/HoLEP, with good outcome data. Sexual function is preserved after with a significant improvement in objective LUTS parameters. Work is ongoing to identify the predictive factors for a good clinical outcome and who benefits most.
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