Evidence map›Paper›PMID 41252120›Full record

ArticleLa Radiologia medica2026

Prostatic artery embolization with glue for benign prostatic hyperplasia in elderly patients: three-year results.

Antonio Vizzuso, Maria Vittoria Bazzocchi, Mara Bacchiani, Giorgia Musacchia, Antonio Spina, Eugenia Fragalà, Giovanna Venturi, Enrico Petrella, Roberta Gunelli, Emanuela Giampalma and 1 more

Erratum issuedAbstract read
In one paragraph

Article in La Radiologia medica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Antonio VizzusoRadiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.ORCID http://orcid.org/0000-0001-9823-3336
Maria Vittoria BazzocchiRadiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.ORCID http://orcid.org/0000-0002-7277-1264
Mara BacchianiDepartment of Urology, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0002-9331-2825
Giorgia MusacchiaRadiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.ORCID http://orcid.org/0009-0000-8895-4973
Antonio SpinaRadiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.ORCID http://orcid.org/0009-0005-8484-2778
Eugenia FragalàUrology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.ORCID http://orcid.org/0000-0002-4779-2012
Giovanna VenturiMedical Physics and Clinical Engineering Operative Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.
Enrico PetrellaRadiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.ORCID http://orcid.org/0000-0001-9149-4488
Roberta GunelliUrology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.
Emanuela GiampalmaRadiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy.ORCID http://orcid.org/0009-0004-1455-6971
Matteo RenzulliRadiology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121, Forlì, Italy. matteo.renzulli@unibo.it.ORCID http://orcid.org/0000-0002-1311-5670

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the clinical efficacy and safety of prostatic artery embolization (PAE) using glue (n-butyl cyanoacrylate, NBCA) in patients with benign prostatic hyperplasia (BPH) presenting with lower urinary tract symptoms (LUTS) due to obstruction or chronic urinary retention managed with an indwelling catheter (IUC). MATERIAL AND

methodsA total of 101 patients (median age 79 years) were included, of whom 67 had LUTS and 34 had an IUC. All were treated with PAE with glue between 2021 and 2024. Clinical success was defined as either a ≥ 25% reduction in the International Prostate Symptom Score (IPSS) and a ≥ 3-point improvement in the quality of life (QoL) score or stable catheter removal.

resultsTechnical success was achieved in 100% of cases, with bilateral embolization in 93% of patients. Among symptomatic patients, clinical success was observed in 92.5%, with a reduction in IPSS from 25.3 ± 8.1 to 15.3 ± 7.8 and in QoL from 4.5 ± 1.1 to 2.3 ± 1.4 at 36 months (p < 0.001). Mean prostate volume decreased by 37.6%. In patients with an IUC, 73.5% resumed spontaneous voiding within an average of 29 days. All complications (13.9%) were minor and managed conservatively.

conclusionEmbolization with acrylic glue is a safe and effective minimally invasive alternative to surgery for BPH, with sustained long-term results. It is particularly suitable for elderly patients with comorbidities or those unfit for surgery presenting with LUTS or chronic urinary retention.

Indexed as

Embolization, TherapeuticEnbucrilateProstateProstatic HyperplasiaAgedAged, 80 and overHumansLower Urinary Tract SymptomsMaleQuality of LifeRetrospective StudiesTreatment OutcomeUrinary RetentionEnbucrilateGlueIndwelling catheterInterventional radiologyLower urinary tract symptomsProstatic artery embolization

Identifiers

PMID41252120
PMCPMC12982230

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.