Minimally invasive treatment for an enlarged prostate

Prostate Artery Embolization

Prostate artery embolization (PAE) is a minimally invasive outpatient procedure used to treat symptoms caused by benign prostatic hyperplasia (BPH), a noncancerous enlargement of the prostate gland. An interventional radiologist inserts a small catheter through a tiny incision in the upper leg or wrist, guiding it into the arteries that supply blood to the prostate. By injecting particles into these arteries, the blood supply is reduced, causing the prostate to shrink and relieving symptoms like frequent urination and bladder discomfort.
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    About Prostate Artery Embolization

    Prostate artery embolization (PAE) is an innovative, minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), a common condition where the prostate gland becomes enlarged, causing a range of urinary symptoms. PAE is performed by an interventional radiologist — a physician who specializes in using advanced imaging techniques, such as X-rays and ultrasound, to treat conditions from within the body without the need for major surgery. This expertise allows for precision targeting of the arteries that supply blood to the prostate gland, reducing the blood flow and causing the prostate to shrink.

    During the PAE procedure, the interventional radiologist makes a tiny incision in the upper leg or wrist to insert a catheter, a small, flexible tube. Using real-time imaging, the catheter is carefully navigated through the blood vessels to reach the arteries that supply the prostate. Tiny particles, about the size of a grain of sand, are then injected into these arteries, blocking the blood flow to the prostate tissue. This deprivation of blood supply causes the prostate to gradually shrink, relieving symptoms such as frequent urination, urgency, and incomplete bladder emptying. Most patients notice significant improvement in symptoms within days to weeks after the procedure.

    PAE is performed as an outpatient procedure, meaning that most patients can go home the same day. The minimally invasive nature of PAE offers numerous advantages over traditional surgical methods, including less pain, a shorter recovery period, and a lower risk of complications. This makes it an attractive option for men who are seeking a less invasive treatment alternative for BPH, particularly those who are not ideal candidates for surgery due to other health concerns.

    For men suffering from the discomfort and inconvenience of an enlarged prostate, PAE offers a safe and effective solution that targets the root cause of the symptoms while preserving the prostate gland. By utilizing cutting-edge interventional radiology techniques, PAE provides long-lasting relief with minimal downtime, helping men quickly return to their daily activities and enjoy a better quality of life.

    Prostate artery embolization - Coronal image from a CT abdomen pelvis examination - Enlarged Prostate Gland
    Coronal image from a CT abdomen / pelvis examination
    Prostate artery embolization 2 microcatheter in left prostate artery and contrast highlighting the left prostate artery
    Left prostate artery angiogram
    Prostate artery embolization - intraprocedural CT scan - contrast injected highlighting the left aspect of the prostate gland
    Intraprocedural CT scan

    Conditions Prostate Artery Embolization Treats

    Prostate artery embolization is used to treat symptoms of benign prostatic hyperplasia (BPH), including:

    • Frequent urination, particularly at night
    • Urgency and pain during urination
    • Difficulty starting or stopping urine flow
    • Weak urine stream
    • Feeling of incomplete bladder emptying
    • Urinary incontinence or leakage

    PAE is a suitable option for men who experience bothersome symptoms from an enlarged prostate and prefer a less invasive alternative to surgery, or for those who are not candidates for traditional surgical procedures.

    Benefits and Effectiveness of Prostate Artery Embolization

    Prostate artery embolization offers several benefits:

    • Minimally Invasive: PAE is performed through a tiny incision, reducing the risks associated with traditional surgery.
    • Lower Risk of Side Effects: PAE has a lower risk of complications like urinary incontinence and sexual dysfunction compared to more invasive procedures.
    • Quick Recovery: Most patients can return to normal activities within a few days.
    • Effective Symptom Relief: The procedure effectively reduces the size of the prostate, relieving symptoms in most cases.

    Risks

    Although prostate artery embolization is generally safe, there are some risks, including:

    • Post-PAE syndrome, which may cause nausea, vomiting, fever, pelvic pain, or frequent urination
    • Hematoma (bruising) at the incision site
    • Blood in the urine, semen, or stool
    • Bladder spasms
    • Infection at the puncture site or within the prostate

    Contact Us About Prostate Artery Embolization

    If you are experiencing symptoms from an enlarged prostate and are interested in a less invasive treatment option, prostate artery embolization may be right for you. Contact our radiology team in Southwest Florida, Cape Coral, or Fort Myers to schedule a consultation and learn more about this effective procedure.