Background: Embolization of the prostatic artery in patients with benign prostatic hyperplasia (BPH) in is a new treatment, understanding the architecture of the artery supplying the prostatic is crucial to success.
Objective: Using digital subtraction angiography (DSA) to define the anatomical features and variations of the PA.
Patients and methods: This research were performed on thirty patients presented to the Interventional Radiology Unit, Sayed Galal university hospital using, DSA, Dyna-CT and 3D reconstruction.
Results: The thirty patients age ranged from 53 to 75 years with mean ± SD equaled 63.17 ± 5.78, the prostatic volume of patients ranged from 40 to 80 ml, and its mean ± SD was 55.00 ± 11.14, International Prostate Symptom Score (IPSS) mean ± SD was 21.83 ± 6.16, where the minimum was 10 and the maximum was 32. Right PA classification was distributed as follows, 7(23.3%) were type I, 6(20%) type II, 5(16.7%) type III, 9(30%) type IV, and 3(10%) type V. Left PA classification was distributed as follows, 7(23.3%) were type I, 6(20%) type II, 5(16.7%) type III, 9(30%) type IV, and 3(10%) type V. Some anastomoses of the PA with the surroundings are noted, including the bladder in one patient (3.3%), Contralateral Prostatic artery in 4(13.3%), rectum in 2(6.7%), penis in 2(6.7%) and seminal vesicles in 3(10%).
Conclusion: Four main patterns matched with about 95 percent of the anatomical variants of the PA, using a systematic categorization, will change the PAE process into a quicker, cleaner, and more successful technique.