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Military Hospital 354 Pioneers Breakthrough Transradial Prostatic Artery Embolization for Enlarged Prostate

Military Hospital 354 Pioneers Breakthrough Transradial Prostatic Artery Embolization For Enlarged Prostate   Hình 1

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Military Hospital 354 has successfully performed transradial prostatic artery embolization (PAE) to treat benign prostatic hyperplasia (BPH). This cutting-edge, minimally invasive endovascular procedure offers rapid recovery, allows patients to walk immediately post-treatment, and safeguards male reproductive and physiological functions.

Ending a Decade-Long Struggle with Severe Urinary Disorders

Recently, the A6 Department at Military Hospital 354 admitted a 64-year-old male patient, Mr. Nguyen Ngoc H., presenting with significant physical exhaustion caused by prolonged urinary dysfunction. Diagnosed with benign prostatic hyperplasia over a decade ago, his prostate volume had expanded to 60 grams, severely compressing the urinary tract. As a consequence, the patient suffered from severe dysuria and debilitating nocturia, waking up 5 to 7 times every single night. The chronic sleep deprivation drastically diminished his everyday quality of life.

Following comprehensive clinical assessments and advanced diagnostic imaging, the interventional radiology team at the Oncology Department conducted a multidisciplinary consultation. Recognizing the necessity for prompt intervention while ensuring minimal risk for an elderly individual, the medical team opted for a revolutionary technique: Transradial Prostatic Artery Embolization (PAE via the wrist).

Innovative Wrist-Access Technique: A Leap in Interventional Radiology

Historically, endovascular catheterization is performed through the femoral artery in the groin. This conventional approach mandates complete patient immobilization for several hours to achieve adequate hemostasis and prevent hematoma formation.

Endovascular Interventional Procedure at Military Hospital 354

Interventional medical specialists performing catheterization via the radial artery at Military Hospital 354.

In contrast, the specialized team at Military Hospital 354 accessed the target vasculature through the radial artery at the patient’s wrist. Utilizing ultra-fine microcatheters navigated under fluoroscopic guidance, clinicians pinpointed the hypervascular vessels feeding the enlarged prostate gland. Microscopic embolic beads and biocompatible agents were precisely infused to occlude the arterial blood supply. Deprived of nourishment, the hypertrophic prostate tissue naturally shrinks and atrophies over time without requiring open surgical excision.

Key Clinical Advantages of Transradial Embolization

According to endovascular experts, performing prostatic artery embolization through the wrist delivers unprecedented clinical benefits:

  • Minimally Invasive with Local Anesthesia: The procedure only requires local numbing at the wrist, eliminating the complications and stress associated with general or spinal anesthesia.
  • Immediate Patient Mobility: The radial puncture site carries an exceptionally low risk of bleeding complications. Patients do not need prolonged bed rest and can comfortably stand and walk right after the intervention.
  • Preservation of Sexual and Urinary Function: Because the technique avoids surgical incision near sensitive pelvic nerves and the bladder neck, it prevents adverse side effects such as erectile dysfunction and retrograde ejaculation.
  • Rapid Hospital Discharge: Reduced physical trauma facilitates quick recuperation, allowing patients to resume normal routines within days.

A Golden Therapeutic Solution for Elderly Patients

Prostatic artery embolization via transradial access represents an ideal therapeutic alternative for senior men with high surgical risks, multiple comorbidities, or cardiovascular complications that make traditional TURP (transurethral resection of the prostate) hazardous.

Clinical evidence demonstrates that within 1 to 3 months post-procedure, prostate gland volume typically decreases by 30% to 40%. Symptoms such as nocturia, urinary hesitancy, and weak stream subside significantly, restoring restful sleep and overall vitality.

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The triumph of this advanced transradial intervention underscores the diagnostic and technical excellence of Military Hospital 354, opening new doors for non-surgical prostate management.

Medical Disclaimer: Health information provided is for educational reference only. Patients must consult qualified healthcare practitioners before pursuing specific medical procedures. Individual treatment outcomes may vary based on personal physiological conditions.

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