Prostate Artery Embolization: Urinary Symptom Relief Linked to Improved Erectile Function

Improvement in lower urinary tract symptoms after PAE was associated with erectile function improvement (partial r= -0.25 at 12 months; P=.020), particularly in men with baseline erectile dysfunction (partial r= -0.38; P=.008). Strong urinary responders more often met the minima…

• IPSS improvement correlated with SHIM score change at both follow-ups (3-month partial r=-0.17, 12-month partial r=-0.25).
• In the baseline erectile dysfunction subgroup, the association was stronger (partial r=-0.38, P=.008).
• Strong urinary responders had a higher rate of achieving the erectile function MCID (26.3% vs 3.8%, P=.014); no significant association was found with ejaculatory function.

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