Prostate Artery Embolization
What is Prostate Artery Embolization (PAE)?
Prostate artery embolization is a nonsurgical procedure for the treatment of an enlarged prostate or benign prostatic hyperplasia (BPH). Men who suffer from an enlarged prostate typically have lower urinary tract symptoms which include urinary frequency, frequent nighttime urination, feeling of incomplete emptying, a weak stream or starting and stopping during urination.
In this procedure, an interventional radiologist accesses the blood supply to the prostate through a tiny needle in either the top of the leg or wrist. Rather than performing a procedure through the penis, a microscopic catheter is placed into the prostatic arteries and microscopic beads are injected to reduce the blood supply to the prostate, therefore shrinking the entire prostate gland. This shrinkage of the prostate allows for better passage of urine through the prostate as well as reduced size and irritation.
Prostate artery embolization is an outpatient, painless procedure which is performed under a twilight sleep. Our average procedure time is roughly 45 minutes. This procedure offers the lowest complication rate of procedures for BPH, without the risk of impotence/sexual dysfunction, incontinence/urine leak and does not require the placement of a Foley or Bladder catheter. The procedure may be performed in a prostate gland of any size or shape/morphology. There is no upper limit to prostatic gland size for this procedure and occasionally this procedure may be performed in conjunction with other procedures to reduce their bleeding risk.