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Enlarged Prostate · PAE

Enlarged prostate (BPH)symptoms, causes and
relief options.

Benign prostatic hyperplasia (BPH), also known as an enlarged prostate affects about half of men over 50, pressing on the urethra and disrupting sleep with constant urinary symptoms. It's common, non-cancerous, and treatable. Our board-certified interventional radiologists relieve it with prostate artery embolization (PAE); no surgery, no cutting, no catheter to take home.
  • No surgery, no cutting
  • Same-day, outpatient
  • Covered by most insurance

1 in 2

Men over 50 develop
an enlarged prostate

Non-cancerous

BPH is benign and does not
become cancer

65–70%

Reduction in urinary symptom scores after PAE

Outpatient

1–3 hour procedure with
no surgical incision.

about the condition

What is benign prostatic hyperplasia (BPH)?

Benign prostatic hyperplasia (BPH) is the non-cancerous enlargement of the prostate gland; one of the most common conditions men face with age, affecting about half of men over 50. The prostate surrounds the urethra, the tube that carries urine out of the body.

As prostate cells grow and the gland enlarges, it presses on the urethra and squeezes the urinary flow causing the frequency, urgency, weak stream, and nighttime trips to the bathroom that disrupt sleep and daily life. BPH is not cancer and does not turn into cancer, but because its symptoms can mirror other conditions, an accurate diagnosis matters.
What causes an enlarged prostate?
Largely linked to the hormonal changes of aging — testosterone is converted into dihydrotestosterone (DHT), which stimulates prostate cells to grow. Other contributing factors include:

Cell growth

Glandular and muscular cells multiply faster than normal with age, increasing the gland's size.

Inflammation

Chronic prostatitis can disrupt normal function and encourage tissue growth.

Neurological factors

Changes in the nerve signals controlling the prostate may influence how it grows and functions.

Genetic predisposition

A family history of an enlarged prostate makes a man more likely to develop it himself.

Lifestyle factors

Obesity, inactivity, and poor diet don't cause BPH directly, but they can speed its progression.

Who's most at risk for BPH?
Any man can develop an enlarged prostate, but researchers have identified several factors that raise the likelihood:

Age

Most often diagnosed in men over 50, with risk rising each decade.

Family history

A father or brother with BPH raises your own risk — the condition runs in families.

Ethnicity

Research suggests African American men may face higher risk and more severe symptoms.

Medical conditions

Diabetes and heart disease have both been linked to a greater risk of BPH.

Medications

Some blood-pressure and erectile-dysfunction medications can worsen urinary symptoms.

Concerned about your prostate?
Talk with a board-certified specialist about what's behind your symptoms — early screening is the best way to detect and manage BPH.
candidacy

Could prostate artery embolization 
be the right treatment for you?

PAE is an excellent minimally invasive treatment for men whose enlarged prostate is interfering with their daily lives but who want to avoid surgery or are not candidates for it. By addressing the underlying cause of BPH symptoms, PAE can provide long-lasting relief, improve urinary function, and help you enjoy more restful nights. Ideal candidates typically have:

Bothersome symptoms

Moderate-to-severe urinary symptoms: frequency, weak stream, or waking through the night.

Medications

Symptoms that persist despite BPH medication, or side effects you'd rather not live with.

Wish to avoid surgery

A preference to keep sexual and urinary function intact and skip a hospital operation.

A very large prostate

PAE works well even for large glands that are difficult to treat with some surgical options.

Higher surgical risk

Men on blood thinners or conditions that make surgery riskier are often good candidates.

Not sure if it's right for you?

Take our quick 2-minute quiz to find out if you're a candidate for prostate artery embolization.

Take the quiz!

MEET YOUR DOCTORS

Board-certified prostate specialists in Houston & Dallas

Together, our physicians have performed more than 40,000 minimally invasive, image-guided procedures across both metros.
Portrait of Eric Hardee

Dr. Eric Hardee

Co-Founder · Interventional Radiologist
Co-founder of Texas Endovascular and a U.S. Navy veteran who treats fibroids, PAD, and vein disease at the Houston and Katy clinics.
Portrait of Dr Fox

Dr. William Fox

Co-Founder · Interventional Radiologist
Co-founder of Texas Endovascular and native Houstonian, recognized as a leader in minimally invasive vein care, UFE, and PAD.
Dr. Jay Patel, M.D.

Dr. Jay Patel

Dallas-Fort Worth Interventional Radiologist
A Dallas native with more than two decades of experience and former Chief of Interventional Radiology at Baylor, now leading care at the Dallas and Plano clinics.
Ryan Armstrong

Dr. Ryan Armstrong

Interventional Radiologist
Board-certified interventional radiologist providing minimally invasive care for fibroids, vein disease, PAD, and joint conditions across greater Houston.

Dr. AJ Valenson

Interventional Radiologist · Bilingual (EN/ES)
Board-certified interventional radiologist and lead provider at the Clear Lake clinic, fluent in English and Spanish, serving patients across the greater Houston area.
Benefits of PAE

Benefits of prostate artery embolization (PAE)

PAE offers key advantages over invasive surgery like prostatectomy.

Preserves sexual function

PAE preserves sexual function; it shrinks the prostate by blocking its arteries rather than removing the gland, PAE carries a far lower risk of erectile dysfunction than prostatectomy.

Lower risk of incontinence

Prostate artery embolization has a lower risk of urinary incontinence than prostatectomy. No tissue is removed, so the muscles that control urination stay intact.

Minimally invasive

PAE is minimally invasive. A catheter is guided through a single pinhole at the wrist or groin to block blood flow to the prostate — no surgical incision, shorter recovery, and no hospital stay.

Minimal blood loss

PAE causes minimal blood loss. Its targeted, catheter-based approach avoids the bleeding, infection, and anesthesia risks of open prostate surgery.

Safe for high-risk patients

PAE is a safe option for high-risk patients. Men with other health conditions or advanced age who can't have surgery can still get lasting symptom relief.

 

See if PAE is right for you! 

Request an appointment today!

 

Compare your options

Prostate artery embolization (PAE) vs. 
other enlarged prostate (BPH) treatments

How minimally invasive, image-guided embolization compares with medication and traditional prostate surgery, at a glance.
TreatmentInvasivenessRecovery TimeAnesthesiaSexual side effects
Prostate artery embolization (PAE) WHAT WE DOMinimally invasive (pinhole)A few daysLight sedationVery low risk
UroLift (implants)Minimally invasiveA few daysLocal/lightLow (size limited)
TURP (surgical resection)Surgical2-4 weeksGeneral/spinalCommon (retrograde)
Open / laser prostatectomySurgical2–6 weeksGeneralHigher risk
MedicationNon-invasiveOngoing useNonePossible (manages only)
WHY TEXAS ENDOVASCULAR

Why choose Texas Endovascular
for prostate care

Every patient receives compassionate, personalized treatment focused on lasting relief, better sleep, and a return to the life you enjoy.

Fellowship-trained specialists

Board-certified interventional radiologists deliver expert care using the latest minimally invasive techniques.

Image-guided precision

State-of-the-art imaging maps the prostate arteries and guides every step for safer, more effective results.

Convenient locations across Texas

Clinics throughout Houston and Dallas–Fort Worth make advanced prostate care easy to access close to home.

Convenient to you

Prostate treatment centers
across Houston & Dallas

Every location offers the same specialized prostate care from board-certified interventional radiologists, at convenient clinics across Texas.

Houston

4747 Bellaire Blvd,
Suite 550
Bellaire, TX 77401
Schedule here

Katy

1331 West Grand Parkway
N, Suite 210
Katy, TX 77493

Schedule here

Sugar Land

7619 Branford Place
Suite 230
Sugar Land, TX 77479
Schedule here

The Woodlands

8850 Six Pines Drive,
Suite 280
The Woodlands, TX 77380
Schedule here

Clear Lake

390 East Medical Center Blvd
Webster, TX 77598
Schedule here

Dallas

3920 W Wheatland Rd
Suite 108
Dallas, TX 75237

Schedule here

Plano

5425 W. Spring Creek Parkway
Suite 100
Plano, TX 75024

Schedule here

Fort Worth

6620 Bryant Irvin Road
Suite 100
Fort Worth, TX 76132

Schedule here
Questions

Enlarged prostate (BPH) FAQs

Still unsure? Our team is happy to answer your questions over the phone.
Am I a Candidate? Take the quiz281.690.5082469.343.0265

What is benign prostatic hyperplasia (BPH)?

BPH is a non-cancerous enlargement of the prostate gland. Because the prostate surrounds the urethra, a larger gland presses on it and disrupts the flow of urine. It's extremely common — about half of men over 50 — and it is not cancer and does not become cancer.

What are the symptoms of an enlarged prostate?

The most common signs are urinary: going more often (day and night), a sudden urge that's hard to control, a weak or stop-and-start stream, trouble starting, dribbling at the end, and waking through the night to urinate (nocturia). Because these can overlap with infections, bladder stones, or other conditions, it's worth getting evaluated.

What causes BPH?

BPH is driven mainly by the hormonal changes of aging — falling testosterone with steady estrogen, and a rise in DHT that spurs prostate cell growth. Age over 50, family history, excess weight, and an inactive lifestyle all raise the risk.

What is prostate artery embolization?

PAE is a minimally invasive, outpatient procedure that shrinks an enlarged prostate by blocking the small arteries that supply it. With less blood flow, the prostate softens and shrinks over the following weeks — relieving urinary symptoms without cutting, removing tissue, or a hospital stay.

How is PAE different from TURP?

TURP is a surgery that removes prostate tissue through the urethra, typically under general or spinal anesthesia with a hospital stay. PAE instead shrinks the prostate from the inside through a single pinhole — no tissue is removed, recovery is faster, and the risk of sexual side effects is much lower.

Is PAE covered by insurance?

When PAE is medically necessary — meaning you have bothersome symptoms from an enlarged prostate — it's covered by Medicare and most major insurance plans. Our team verifies your benefits in advance so there are no surprises.

FROM OUR DOCTORS

Learn about prostate health from the specialists who treat it

Our physicians break down the questions patients ask most, in plain language, without the medical jargon.