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Enlarged Prostate · PAE

Prostate artery embolization (PAE)in Houston & Dallas

An enlarged prostate can disrupt sleep and daily life with constant urinary symptoms. Prostate artery embolization (PAE) shrinks the prostate without surgery, performed by our board-certified interventional radiologists through a single pinhole, with no cutting and no catheter to take home.
  • No surgery, no cutting
  • Same-day, outpatient
  • Covered by most insurance

65–70%

Reduction in urinary symptom scores after PAE in published studies.

90%+

Patients experience meaningful symptom improvement

Same-day
Outpatient

1–3 hour procedure with
no surgical incision.

2+ years

Long-lasting relief
shown in clinical studies

about the procedure

What is prostate artery embolization?

Prostate artery embolization (PAE) is a minimally invasive treatment for an enlarged prostate, also called benign prostatic hyperplasia (BPH). Instead of cutting or removing tissue, our interventional radiologists block the tiny arteries that feed the prostate.

With its blood supply reduced, the prostate gradually softens and shrinks over the following weeks, easing pressure on the urethra and relieving the urinary symptoms that disrupt sleep and daily life. The whole procedure is done through a single pinhole, with no hospital stay.
candidacy

Am I a candidate for prostate artery embolization?

PAE is an excellent minimally invasive treatment for men whose enlarged prostate is disrupting their daily lives. By targeting 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.

Medication isn't enough

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.

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. Because 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!

 

treatment without surgery

Prostate artery embolization:
relief without surgery

PAE is performed right in our outpatient center under light sedation. Using live imaging, our interventional radiologists guide a microcatheter to the prostate arteries through a single pinhole at the wrist or groin — no incision, no general anesthesia, and no surgical removal of tissue. Most men go home the same day and return to normal activities within a few days.
How prostate artery embolization works
  1. Through a tiny pinhole, a thin microcatheter is guided to the prostate arteries using live X-ray imaging — you stay comfortable under light sedation.

  2. Tiny microspheres are released to block the small arteries feeding the prostate, reducing its blood supply — both sides are treated through the same access point.

  3. Over the next few weeks the prostate softens and shrinks, easing pressure on the urethra — and your urinary symptoms steadily improve.

The procedure usually takes one to three hours, and most men go home the same day with only a small bandage. Symptom relief builds gradually as the prostate shrinks over the following weeks.

Outpatient, same-day

No hospital stay. You go home within a few hours of the procedure.

No cutting, no catheter home

A single pinhole instead of an incision — and no tissue is removed.

Preserves function

Very low risk of erectile dysfunction or retrograde
ejaculation.

Covered by most insurance

Medically necessary PAE is covered by Medicare and most major plans.

Are you a candidate for PAE?
Take our 60-second quiz to find out whether this minimally invasive option may be right for you.
Compare your options

Prostate artery embolization 
vs. other 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

Prostate artery embolization 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 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.

What are the success rates for prostate artery embolization?

Prostate artery embolization (PAE) has excellent success rates. A 2017 study found PAE achieved a 90% success rate in treating benign prostatic hyperplasia (BPH) — improving urinary flow and relieving symptoms like frequent urination, weak stream, and straining, with a low complication rate compared to traditional BPH surgery.

Will PAE affect my sexual function?

PAE is designed to preserve sexual and urinary function. Unlike some prostate surgeries, it carries a very low risk of erectile dysfunction or retrograde ejaculation because no nerves or tissue are cut. Many men report an improved quality of life after the procedure.

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.

Recovery time can vary depending on the patient's overall health and any comorbidities. Other medical conditions alongside BPH — such as diabetes or heart disease — may mean it takes longer to recover fully. In those cases, patients should work closely with their healthcare provider to monitor progress and ensure a safe, effective recovery.

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.