Prostate Artery Embolization (PAE)

What is Prostate Artery Embolization?

Prostate artery embolization (PAE) is a non-surgical procedure where blood flow to the prostate arteries is blocked. By lowering blood flow to an enlarged prostate, the prostate shrinks and prostate related urinary symptoms are improved. This minimally invasive procedure can be helpful for men with lower urinary tract symptoms related to an enlarged prostate. This procedure is an alternative to surgery and transurethral resection of the prostate (TURP).

Who can benefit from this procedure?

This non-surgical procedure is commonly performed in men who have benign prostatic hyperplasia (BPH) and suffer from lower urinary tract symptoms. Men can develop urinary symptoms because the enlarged prostate blocks urine from flowing out of the bladder.

These urinary symptoms include frequent urination, nighttime urination, straining during urination, feelings of incomplete bladder emptying, and a weak urinary stream.

Men who are dependent upon a foley catheter due to an enlarged prostate can also benefit from this procedure. Embolization of the prostate can allow for prostate shrinkage and subsequent Foley catheter removal.

Prostate comparison

How is prostate artery embolization performed?

The procedure is usually performed under twilight sedation and lasts several hours. Through a small incision, a small catheter (hollow tube) is inserted into the artery. Using X-Ray imaging the catheter is positioned in the artery supplying blood flow to the prostate. Blood flow to the prostate is blocked by injecting small particles (embolization).

Why choose prostate artery embolization?

Prostate artery embolization is a well-studied, safe, and effective procedure. PAE can provide durable relief to men with enlarged prostates, suffering from urinary symptoms. In many cases, patients can go home the same day. Unlike surgery, this procedure does not carry the risk of causing incontinence, impotence, or sexual dysfunction. Unlike surgery, this procedure can be performed with a light sedation.

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