Prostate Artery Embolization: A Minimally Invasive Approach to Treating BPH

Benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate, affects millions of men as they age. While not life-threatening, BPH can significantly impact quality of life, causing frequent urination, weak urine flow, and interrupted sleep. Traditionally, men with moderate to severe symptoms have faced a limited set of treatment options — many of which involve surgery and prolonged recovery. Today, a minimally invasive BPH treatment known as Prostate Artery Embolization (PAE) is changing that landscape.

What Is Prostate Artery Embolization?

Prostate Artery Embolization is a non-surgical procedure performed by an interventional radiologist. Using advanced imaging guidance, the physician inserts a catheter, typically through the groin or wrist, and threads it to the arteries supplying blood to the prostate. Tiny particles are then injected to block blood flow, causing the prostate to shrink over time.

Unlike traditional surgical options, such as transurethral resection of the prostate (TURP) or laser ablation, PAE does not involve cutting, removal of tissue, or a hospital stay. Most patients are discharged the same day and experience symptom relief within a few weeks.

Why Are More Men Considering PAE?

One of the key advantages of PAE is its low risk of sexual side effects. Surgical procedures often carry the potential for erectile dysfunction or retrograde ejaculation. Because PAE works by reducing blood supply — not by altering or removing tissue — the risk of impacting sexual function is much lower.

Additionally, PAE is performed under local anesthesia with sedation, avoiding the need for general anesthesia. Recovery tends to be quicker and less painful, with most patients resuming light activities within a few days.

Who Is a Candidate for PAE?

PAE may be an option for men who:

  • Have moderate to severe BPH symptoms
  • Want to avoid surgery or are not good candidates for it due to other health concerns
  • Prefer a lower risk of sexual side effects
  • Have not found relief with medication alone

While PAE is a promising minimally invasive BPH treatment, it’s not suitable for every patient. A consultation with an interventional radiologist can determine eligibility based on prostate size, anatomy, and symptom severity.

What to Expect After the Procedure

Most men notice symptom improvement within a few weeks, with continued reduction in prostate size over several months. Common post-procedure effects include mild pelvic discomfort or urinary frequency, both of which typically resolve on their own.

Clinical studies have shown PAE to be a safe and effective treatment, with a high satisfaction rate among patients seeking alternatives to surgery. As awareness grows, more men are turning to this option for lasting relief without the downsides of traditional surgical interventions.

Prostate Artery Embolization at AMIC

If you’re exploring options for BPH treatment, consider talking with a specialist in interventional radiology. Prostate Artery Embolization offers a minimally invasive approach that prioritizes both effectiveness and quality of life — making it an option worth considering.

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