Tags: prostatic | artery | embolization | waking | enlarged | prostate

Treatment Cuts Nighttime Waking of Men With Enlarged Prostates

Treatment Cuts Nighttime Waking of Men With Enlarged Prostates
(Copyright AP)

By    |   Monday, 04 April 2016 01:00 PM


Men with enlarged prostates complain of numerous nighttime visits to the bathroom, so many trips, in fact, that it interferes with getting a good night's sleep. But a new treatment called prostatic artery embolization (PAE) decreased the need to urinate at night in almost 74 percent of the men who underwent the innovative therapy.

Almost all men will experience enlarged prostates (benign prostatic hyperplasia or BPH) as they age. By the age of 60, about half of men will have some degree of the condition, and according to the National Institute of Health, up to 90 percent of men will be affected by the age of 80.

Symptoms of enlarged prostate include a weak or slow urinary stream, frequent urination, an urgency to urinate, and getting up frequently at night to urinate. About a third of men will have symptoms so severe they require treatment.

"Waking in the night with an urgent need to urinate, or nocturia, significantly disrupts the lives of men by preventing them from having a full night's sleep," said Sandeep Bagla, M.D., the study's lead researcher and an interventional radiologist at the Vascular Institute of Virginia.

"For many men, the cause of their discomfort is an enlarged prostate, and these results show men can live a more normal life once they've undergone PAE to address this condition.

"For these individuals, PAE has the added benefit of being less invasive compared to other treatments and is performed on an outpatient basis, allowing many men to go home the same day."

In the new treatment, a catheter is inserted into the femoral artery and guided to the prostate artery on both sides of the enlarged prostate gland. Once the catheter is in position next to the prostate, it delivers microscopic spheres to block the flow of blood, which causes the prostate to shrink.

Three months after treatment, 73.7 percent of the men who completed treatment, including follow-up, reported an average reduction of 1.4 bathroom visits a night. They also reported an improvement in their quality of life.

"Many of my patients who have undergone PAE have told me that reducing the need to go to the bathroom at night has improved their daily lives by reducing sleep deprivation, which takes a toll," said Bagla.

"They're able to enjoy their daytime activities, including quality time spent with their family and friends and hobbies. They have even noticed increased work productivity. Anecdotally, patients who show signs of a better quality of life three months after the treatment appear to continue their progress two or three years after undergoing PAE."

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Men with enlarged prostates complain of numerous nighttime visits to the bathroom, so many trips, in fact, that it interferes with getting a good night's sleep. But a new treatment called prostatic artery embolization (PAE) decreased the need to urinate at night in almost...
prostatic, artery, embolization, waking, enlarged, prostate
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2016-00-04
Monday, 04 April 2016 01:00 PM
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