Prostate Artery Embolization (PAE) is a minimally invasive treatment for men suffering from an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH).
By cutting off the extra blood supply to the prostate, this procedure shrinks the gland and relieves pressure on the urethra without the risks associated with traditional surgery.
Common Indications for PAE
Your doctor may request a PAE if you experience:
- A frequent or urgent need to urinate, especially during the night.
- A weak urine stream or difficulty starting urination.
- The feeling that your bladder is never completely empty.
- You want an alternative to surgery (like a TURP procedure) to avoid sexual side effects like erectile dysfunction or retrograde ejaculation.
What happens during the procedure?
A tiny tube is inserted into an artery in your groin or wrist. Using a specialized X-ray dye, the doctor maps out the tiny arteries feeding the prostate gland. Microscopic particles are then injected through the tube to block these blood vessels. Over the following weeks, the lack of blood flow causes the enlarged prostate to safely shrink.
Do I need to prepare?
Yes. You will be asked to fast before the procedure. You may also need a blood test to check your kidney function and an ultrasound or MRI to evaluate the size of your prostate.
How long does it take?
The procedure usually takes 1 to 2 hours. It is performed as an outpatient treatment, meaning you can typically go home the same day.
Will it be painful?
The procedure is virtually painless. You are given relaxing IV medicine and the entry site is completely numbed. After the procedure, you might feel a mild, dull ache in your pelvis or experience frequent urination for a few days as the prostate reacts to the treatment, but severe pain is very rare.
Conclusion
PAE is a safe and effective way to relieve frustrating urinary symptoms caused by an enlarged prostate. It provides a comfortable recovery and carries a much lower risk of sexual side effects compared to traditional prostate surgery.