How does prior prostate artery embolization impact your treatment recommendations for prostate cancer?
Answer from: Radiation Oncologist at Academic Institution
PAE is a "newer" modality that is being used to treat LUTS in men with BPH and BPH symptoms at baseline. Case series report relatively impressive results, with the average AUA score dropping from around 20 to 8 in populations receiving this therapy. PAE is sold as a procedure that is unlikely to hav...
Comments
Radiation Oncologist at University of Texas Southwestern Very interesting — do you use SBRT/hypofrac ...
Answer from: Radiation Oncologist at Academic Institution
It is well documented that prostate artery embolization (PAE) is an effective urologic intervention to reduce lower urinary tract symptoms in men with BPH, and in select cases, it may avoid the need for androgen deprivation therapy in larger prostate volumes who are managed with prostate radiotherap...
Answer from: Radiation Oncologist at Community Practice
We are going to start PAE soon. I was familiar with the limited literature on PAE and radiation. One concern I gave was tumor hypoxia caused by embolizing the blood supply and thus oxygen and so potentially limiting free radicals for radiation efficacy. Also, some aggressive hypoxia tumor mutations ...
Very interesting — do you use SBRT/hypofrac ...