Prostate Artery Embolization (PAE) FAQs

Living with the urinary changes of an enlarged prostate can be frustrating and even disruptive. If you’re considering Prostate Artery Embolization (PAE) as a treatment option, it’s natural to want clear answers before making a decision.

Below, you’ll find straightforward explanations to the questions men ask most often about benign prostatic hyperplasia (BPH) and its minimally invasive procedure, PAE, so that you can feel informed, confident, and prepared for the next steps.

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.

Learn More About PAE at Texas Endovascular

Living with the symptoms of an enlarged prostate doesn’t have to be a lifelong challenge.

Our board-certified interventional radiologists at Texas Endovascular offer prostate artery embolization as a safe, outpatient solution designed to reduce urinary symptoms and help you regain comfort and confidence.

If you’re ready to explore whether PAE is right for you, we’re here to answer questions, review your options, and guide you every step of the way.

Schedule a consultation today to speak with a member of our care team or find a Texas Endovascular location nearest you.