MINIMALLY INVASIVE TREATMENT
Prostatic Artery Embolization (PAE)
Prostatic artery embolization (PAE) is a minimally invasive, image-guided procedure used to manage symptoms caused by benign prostatic hyperplasia (BPH). By reducing blood supply to the enlarged prostate, PAE can help improve urinary symptoms while avoiding open surgery in selected patients.
What Is Prostatic Artery Embolization?
Prostatic artery embolization is an image-guided procedure in which tiny embolic particles are delivered into the arteries supplying the prostate. This reduces blood flow to the prostate tissue, leading to gradual shrinkage and improvement in urinary symptoms.
The procedure is performed through blood vessels without surgical incision and preserves surrounding structures.
When Is PAE Considered?
Prostatic artery embolization may be considered in patients with:
- Benign prostatic hyperplasia (BPH)
- Lower urinary tract symptoms (LUTS) such as weak stream, frequency, or incomplete emptying
- Large prostate size not suitable for certain surgical options
- Recurrent prostate-related bleeding
- Poor surgical candidacy or preference for a minimally invasive approach
Suitability is determined after urological evaluation, imaging, and symptom assessment.
How Prostatic Artery Embolization Is Performed
- The procedure is performed under real-time imaging guidance
- Local anesthesia is commonly used
- A catheter is guided through blood vessels to the prostatic arteries
- Embolic particles are delivered selectively to reduce blood supply
- Care is taken to preserve blood flow to surrounding organs
Potential Advantages of Prostatic Artery Embolization
- Minimally invasive, image-guided approach
- No surgical incision or prostate removal
- Can be considered in patients with large prostates
- Short recovery time in many cases
Recovery and Aftercare
Patients are monitored after the procedure, and urinary symptoms are followed over time. Medications and follow-up assessments may be advised based on individual response.
Recovery recommendations vary based on individual clinical factors and should be followed as advised by the treating doctor.
Risks and Considerations
Like all interventional procedures, PAE has potential risks, including:
- Temporary pelvic discomfort or urinary symptoms
- Infection (uncommon)
- Incomplete symptom improvement
- Need for additional treatment in selected cases
Not all patients experience these effects, and outcomes vary depending on prostate size, anatomy, and overall health.
Frequently Asked Questions
Is prostatic artery embolization a surgical procedure?
No. PAE is a minimally invasive, image-guided procedure performed without open surgery.
Does PAE remove the prostate?
No. PAE reduces blood flow to the prostate, leading to gradual shrinkage rather than removal.
Is hospital admission required for PAE?
The procedure is often performed on a day-care basis, depending on patient condition and recovery.
Consult for Prostatic Artery Embolization Evaluation
Clinical assessment, imaging, and urological consultation are essential to determine whether prostatic artery embolization is an appropriate treatment option.