The prostatic artery usually arises from the anterior division of the iia internal pudendal artery superior vesical artery or obturator artery 43 44. The prostate has a dual vascular arterial supply.
Anatomical Variants In Prostate Artery Embolization A
There is an excellent correlation between the computed tomography angiography and digital subtraction angiography findings enabling correct depiction of the male pelvic arterial anatomy internal iliac branching patterns relevant variants as accessory pudendal arteries and pa anatomy.
Prostate artery anatomy. The base of the prostate is in continuity with the bladder. It has a superior base inferior apex and anterior inferolateral and posterior surfaces. Symptomatic benign prostatic hyperplasia is a common condition in the aging population that results in bothersome lower urinary tract symptoms and decreased quality of life.
Prostatic artery embolization is emerging as an effective and safe treatment of symptomatic benign prostatic hyperplasia. A cranial or vesico pa named anterior lateral prostatic pedicle and a caudal pa named posterior lateral prostatic pedicle. It may have a common trunk with the inferior vesical vesiculodeferential or middle rectal arteries.
The descriptions of prostatic arterial anatomy based on cadaveric study have been published 4 6. The prostate gland is an inverted pyramid that surrounds the proximal urethra which traverses the prostate close to its anterior surface. However pelvic vascular anatomy is very difficult to evaluate in cadaveric specimens because of the almost indistinguishable fat and small nerves and vessels 15 16.
Prostate artery embolization pae has evolved into an encouraging minimally invasive option for patients suffering from a variety of prostatic issues including lower urinary tract symptoms luts secondary to benign prostatic hyperplasia bph hematuria of prostatic origin and prostate cancer.
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