Effective Treatment for an Prostate Artery Embolization (PAE)
Prostate artery embolization (PAE) is an extremely successful minimally invasive treatment for benign prostatic hyperplasia (BPH), also known to shrink enlarged prostate.
The overgrowth of prostate tissue cells without infection or malignancy is called benign prostatic hyperplasia (BPH). The enlarged prostate gland compresses and tightens the urethra, resulting in the following urinary symptoms
- Problems urinating
- Weak urine flow
- A sudden need to urinate
- Increased need to urinate, particularly during the night
- Having the sensation that the bladder hasn't emptied fully
- Hesitant urine stream (urine stops and starts)
BPH is prevalent among men aged 50 and older. BPH symptoms are often bothersome and unpleasant, resulting in undesirable and often embarrassing lifestyle adjustments and sleep deprivation.
Prostate Artery Embolization (PAE) for BPH
Prostate artery embolization (PAE) is a non-surgical technique that has drawn attention as a viable and highly effective replacement for invasive BPH treatments.
During PAE, a small catheter is passed into an artery in the wrist or the groin and guided to the prostatic arteries using X-ray imaging. Tiny embolic materials are then injected into the prostatic arteries. These particles block the blood supply to the prostate gland, effectively shrinking it.
PAE aims to reduce the symptoms caused by an enlarged prostate without surgery. By restricting the blood flow to the prostate, PAE causes the prostate gland to shrink over time. This approach relieves the pressure on the urethra and improves urinary symptoms.
PAE is performed under local anesthesia and patients can go home the same day. The procedure has a lower complication rate than traditional surgical BPH treatments.
Studies have shown PAE can provide significant relief from BPH symptoms, including improved urine flow and reduced frequency of urination. It is considered a safe and effective alternative to surgery for many men with BPH. However, not all patients are suitable candidates for PAE, and a thorough evaluation by a healthcare professional is necessary to determine if this procedure is appropriate.
Dr. Jay Patel - Prostate Artery Embolization Doctor
Dr. Hardee - Prostate Artery Embolization Doctor
Other Treatments for Enlarged Prostate Conditions
While PAE is a safe and highly effective solution for most BPH patients, some patients might not be viable candidates for the procedure. Alternative interventions might include the following strategies:
BPH Monitoring
Monitoring BPH involves regular check-ups with a healthcare provider to assess the condition's progression and monitor any changes in symptoms. This approach is often recommended for men with mild to moderate symptoms or those who prefer a conservative management strategy.
Medication Management
Alpha-adrenergic blockers and 5-alpha reductase inhibitors are commonly recommended for treating BPH.
Alpha-adrenergic blockers work by relaxing the smooth muscle in the prostate and bladder neck. This relaxation helps to relieve the obstruction of the urinary flow caused by an enlarged prostate. On the other hand, 5-alpha reductase inhibitors work by preventing the conversion of testosterone to dihydrotestosterone (DHT), a hormone responsible for the growth of the prostate gland.
While medications can alleviate symptoms for many patients, they require continual administration. Moreover, some patients experience cardiovascular complications from alpha-adrenergic blockers.
Non-Surgical Transurethral Procedures
Non-invasive transurethral approaches are techniques that involve guiding a thin tube through the urethra.
- Transurethral microwave thermotherapy (TUMT)
TUMT uses microwave energy to heat and destroy excess prostate tissue. It is usually performed under local anesthesia (though general anesthesia might be recommended for some patients). During the procedure, a specially designed catheter equipped with a microwave antenna is inserted into the urethra, allowing controlled delivery of energy to the prostate. Microwave energy generates heat, which selectively targets and destroys the prostate tissue. - Transurethral needle ablation (TUNA)
TUNA also uses energy to target excess prostatic tissue, but it requires a lower dose than TUMT. The treatment is mainly performed on patients with larger prostates. TUNA is associated with a heightened risk of urinary retention and discomfort post-procedure. Patients might require multiple treatments.
Surgical Transurethral Procedures
- Transurethral resection of the prostate (TURP)
TURP entails the removal of excess prostate tissue that obstructs the urethra, thus relieving urinary symptoms. During the procedure, a resectoscope, a thin tube with a light and camera at the end, is passed into the urethra and advanced to the prostate. Using specialized instruments, the surgeon carefully removes excess prostate tissue. TURP requires hospitalization for monitoring, as well as the insertion of a urinary catheter. - Transurethral incision of the prostate (TUIP)
This is a surgical technique involving the use of a cystoscope through the urethra. The objective is to widen the prostatic urethra and improve urine flow by making small incisions in the prostatic tissue. The procedure is performed under general or spinal anesthesia.
Prostate Artery Embolization (PAE) Benefits
PAE offers the following advantages over invasive interventions
- Low risk of complications
- No hospital stay
- Preserves sexual function
- Performed under local anesthesia
- Minimal recovery time
Recovery After Prostate Artery Embolization (PAE)
While most men return to everyday activities within days, each recovery journey is unique. The timing of symptom improvement and overall healing can vary based on factors such as age, general health, and the size of the prostate.
This guide explains the typical recovery timeline, common side effects, and the steps you can take to support a smooth, comfortable healing process. There are a few factors that influence the PAE treatment recovery process.
Overall health
Overall health is a significant factor in determining recovery time after PAE.
Patients in good physical health tend to recover more quickly than those with underlying health problems or compromised immune systems.
Individuals with comorbidities such as heart disease, diabetes, or hypertension may experience a slightly longer recovery time and require closer monitoring during recovery.
Age
Age is a variable that may also influence recovery time after PAE.
Older patients tend to be more susceptible to complications and may take longer to heal than younger individuals.
However, age alone does not necessarily determine the length of recovery time. Some older patients may recover quickly from PAE, while younger patients may experience a longer recovery period.
Weight
Weight plays a pivotal role in determining the success rate and recovery time after prostate artery embolization.
Patients with obesity or other weight-related health issues may experience a slower recovery process due to increased stress on the heart and blood vessels.
Additionally, managing weight and maintaining a healthy diet during the recovery period can have a positive impact on recovery.
Prostate size
The degree of prostate enlargement also plays a role in recovery time. Patients with a significantly enlarged prostate might require more time to achieve the desired symptom reduction than those with less advanced enlargement.
Symptom severity
Patients experiencing significant, debilitating BPH symptoms sometimes wait longer to achieve complete relief from urinary symptoms than patients with less intense symptoms.
Procedure complications
In the rare event of a complication, such as infection or post-procedure bleeding, the patient may experience longer recovery times due to the need for additional interventions.
Compliance with post-procedure instructions
Careful compliance with your provider’s post-procedure instructions is one of the most critical factors in a successful recovery after PAE.
When you rest as advised, avoid strenuous activity, take prescribed medications, and keep follow-up appointments, you support faster healing, reduce discomfort, and help ensure the best possible improvement in urinary symptoms.
Ignoring or only partially following these directions carries real risks. Skipping medications, resuming heavy activity too soon, or missing check-ins can lead to unnecessary pain, infection, or other complications, and may delay or even limit the relief you expect from PAE.
Staying in close contact with your healthcare team and following their guidance provides the greatest opportunity for a quick, comfortable recovery and long-lasting results.
Trusted Specialists in Prostate Health in Houston & Dallas
At Texas Endovascular, our team of experienced interventional radiologists is dedicated to providing personalized care and the latest advancements in prostate health. We understand the impact BPH symptoms can have on a man's life, and we strive to offer an effective solution that improves both urinary function and overall well-being.
If you are experiencing symptoms associated with an enlarged prostate and are seeking a non-surgical treatment option, we encourage you to contact our knowledgeable staff to schedule a consultation today.
Prostate Artery Embolization (PAE) FAQs
What are the success rates for prostate artery embolization?
Prostate artery embolization (PAE) offers excellent patient outcomes.
A 2017 study on PAE found that the procedure demonstrated a success rate of 90%, making it an effective treatment option for patients suffering from benign prostatic hyperplasia.
One of the key benefits of PAE is its ability to improve urinary flow. BPH often leads to urinary symptoms such as frequent urination, weak urine flow, and the need to strain during urination. The study found PAE effectively addresses these symptoms, improving patients' urinary flow and overall quality of life.
Moreover, the study highlighted the low incidence of complications associated with PAE. A low complication rate is a significant advantage over traditional surgical treatments for BPH, which can carry a higher risk of complications.
Is PAE safe?
Yes. Prostate artery embolization is considered a very safe procedure when performed by an experienced, board-certified interventional radiologist.
Because it is minimally invasive and uses only a tiny incision, the risk of serious complications is low.
Most men return home the same day and experience only slight discomfort during recovery.
Your doctor will review your individual health history and explain any specific risks, allowing you to make a confident decision.
What is the recovery time for prostate artery embolization?
Typically, PAE recovery time is under one week. Most patients can resume normal daily activities within a week after the procedure.
However, it is essential to note that recovery time can vary depending on multiple factors, including the patient's overall health and any comorbidities.
Comorbidities, or the presence of other medical conditions in addition to BPH, can affect the recovery time following PAE. If a patient has underlying health issues, like diabetes or heart disease, it may take longer to recover from the procedure fully. In such cases, patients must work closely with their healthcare provider to monitor their progress and ensure a safe and effective recovery.
How long do the results from prostate artery embolization last?
Studies have shown that the effects of PAE can persist for up to four years in many cases. Patients who undergo the procedure can experience relief from BPH symptoms for a significant period.
However, it is important to note that the duration of relief can vary from patient to patient. While some individuals may find relief lasting up to four years, others have reported experiencing benefits for up to ten years. This extended relief is particularly impressive considering that alternative treatments for BPH, such as medication or surgery, may require more frequent intervention or have a higher risk of complications.
What are the side effects of prostate artery embolization?
Though PAE is generally safe and well-tolerated, like any medical intervention, it does carry some potential side effects. It is important to understand these side effects before undergoing the procedure.
- Pain while urinating
- Hematuria (blood in urine)
- Hematospermia (blood in semen)
- Bleeding from the rectum
- Retention of urine
It is crucial to understand that while these side effects are possible, they are rare. The vast majority of patients who undergo PAE do not experience any significant complications. The benefits of PAE in alleviating BPH symptoms might outweigh the potential risks associated with the procedure.
Does prostate artery embolization cause erectile dysfunction?
Fortunately, post-procedure erectile dysfunction is extremely rare.
Studies have shown that PAE has the fewest accounts of erectile dysfunction compared to other BPH-related treatments.
In fact, many patients have reported improved erectile function after undergoing PAE.
Who is not a good fit for prostate artery embolization?
Patients with kidney disease, contrast dye allergies, or asymptomatic BPH are not considered viable candidates for PAE.
Your doctor will require imaging tests to evaluate your PAE eligibility and ensure your safety during the procedure.
Discussing your medical history and any concerns with your doctor is crucial for determining the most suitable treatment plan for your specific situation.
Can I have prostate artery embolization performed more than once?
In some instances, urinary symptoms may return over time despite the initial success of the PAE procedure. In these cases, it is important to know that PAE can be safely repeated to provide additional relief.
However, it is important to highlight that if the original PAE treatment did not alleviate BPH symptoms, it is generally not recommended to repeat the procedure. In such cases, alternative treatment options should be considered, and the patient should consult their healthcare provider for further guidance.
How much does prostate artery embolization cost?
The cost of PAE can differ based on individual insurance plans.
Please note that this price is subject to change and may be influenced by various factors.
Please don't hesitate to contact the caring representatives at Texas Endovascular to discuss pricing and financing options.
Does Medicare cover prostate artery embolization?
Medicare covers PAE and related diagnostic tests for patients enrolled in Medicare.
At Texas Endovascular, we partner with Medicare and most major health insurance providers.
Serving the Houston & Dallas area at these Convenient Prostate Artery Embolization (PAE) Treatment Centers
Each location offers the same specialized Prostate Artery Embolization (PAE) care delivered by board-certified interventional radiologists. Houston and Dallas specialists serve patients throughout Texas at convenient locations, including:
Prostate Artery Embolization (PAE) Treatment in Houston
4747 Bellaire Blvd
Suite 550
Bellaire, TX 77401
