Prostate Artery Embolization
Prostate artery embolization (PAE) is a minimally invasive, image-guided procedure for benign prostatic hyperplasia (BPH) that shrinks the prostate by blocking its blood supply. PAE offers an effective, non-surgical alternative, providing symptom relief with less risk, less downtime, and no need for general anesthesia.
Preparation: PAE is typically performed as an outpatient procedure under local anesthesia. The skin where the catheter will be inserted is sterilized and numbed before the procedure begins.
Catheter Insertion: Using real-time X-ray imaging (fluoroscopy) for precision, a tiny puncture is created and a thin, flexible tube called a catheter is inserted into an artery. The catheter is then carefully guided into the arteries that supply blood to the prostate.
Mapping the Blood Supply: A special contrast dye is then injected through the catheter to map the blood flow to the prostatic arteries. This enhanced visibility makes it possible to precisely target the arteries feeding the enlarged prostates.
Embolization (Blocking the Blood Flow): Once the target arteries are identified, tiny, biocompatible particles are injected through the catheter into the prostate’s blood vessels. These particles block blood flow to overgrown prostate tissue, causing it to shrink over time and relieving pressure on the urethra — the source of most urinary symptoms.
Completion and Recovery: After embolization, the catheter is removed, and a small bandage is applied — no stitches are required. Most patients go home the same day and return to normal activities within a few days.
Recovery and Results: Because PAE is minimally invasive, recovery is typically quick and comfortable. Most patients notice an improvement in urinary symptoms within 2–4 weeks, with continued progress over the following months as the prostate gradually shrinks. Unlike traditional surgery, PAE has a low risk of sexual side effects, incontinence, or significant complications.
An enlarged prostate is a common condition that affects many men. While it can significantly impact urinary function, it is highly manageable. If conservative approaches — such as fluid management or medications — have not provided adequate relief, our expert team at Vascular Interventional Specialists offers you personalized care and advanced treatment options tailored to your needs.