751 - PAE vs TURP for BPH: An Imaging-first, Patient-centred Appraisal for IR Clinics

Monday, April 13, 2026

4:51 PM - 4:57 PM ET

Abstract Presenter(s)

MH

Mahta Haghighat, MBBS

Medical Student
King's College London, United Kingdom

Author/Co-author(s)

KV

Krishnika Vetrivel, MBBS

Medical Student
King's College London, United Kingdom
LS

Luxshiny Sivachandrabharathy, MBBS

Medical Student
King's College London, United Kingdom
DJ

Durga Jeyasingham, MBBS

Medical Student
King's College London, United Kingdom
AA

Amina Aden, MBBS

Medical Student
King's College London, United Kingdom

Learning Objectives:

Prioritize and harmonize endpoints for counselling and consent: International Prostate Symptom Score (IPSS), IPSS-Quality of Life, sexual function via IIEF-5, adverse events, reintervention, and length of stay.

Integrate vascular anatomy, road-mapping, and embolic/technique decisions into patient selection and risk discussion.

Implement a transparent abstraction and follow-up schedule that supports clinic documentation and MDT decision-making.

Background: Patients with benign prostatic hyperplasia (BPH) increasingly ask IR teams to compare prostatic artery embolization (PAE) with transurethral resection of the prostate (TURP). A structured, imaging-led approach helps align expectations with anatomy and technique while anchoring conversations in reproducible outcomes that matter to patients.

Clinical Findings/Procedure Details: We review prostatic arterial anatomy (common variants and collateral risks), planning and road-mapping workflows, and technique pearls for safe PAE (microcatheter selection, bilateral vs unilateral embolization, embolic considerations, and avoidance of non-target embolization). Measurement and follow-up are aligned with clinical use: timed IPSS and IPSS-Quality of Life; IIEF-5 for sexual function; adverse events; reintervention; and length of stay. Where used, ultrasound or MRI is standardized to document prostate volume change and correlate imaging with symptom relief. A concise data-extraction and follow-up template keeps multi-study interpretation reproducible and supports balanced, patient-centred counselling when contrasting PAE and TURP. Pitfalls & fixes: mixing unilateral and bilateral outcomes without disclosure; inadequate road-mapping of variants; missing sexual-function timing; inconsistent endpoint timing across visits. Deliverables include a one-page abstraction template (endpoints and timing), a simple follow-up schedule for clinic, and an annotated angiographic checklist to reduce non-target risk.

Conclusion and/or Teaching Points: Anchor counselling on harmonized endpoints patients understand (IPSS, QoL, IIEF-5, safety, retreatment, stay).
• Let imaging anatomy and technique drive selection and expectation-setting.
• A simple template standardizes clinic messaging and supports consistent MDT decisions.
AI Disclosure
Generative AI (ChatGPT; GPT-5 Thinking) was used for language refinement and formatting only; no clinical decisions, data extraction, image generation, or unpublished patient information were provided to AI systems.