Prostate Artery Embolization (PAE):
A Minimally Invasive Solution for Benign Prostatic Hyperplasia
Prostate Artery Embolization (PAE) is an innovative, minimally invasive procedure that offers significant benefits for men suffering from Benign Prostatic Hyperplasia (BPH).
Benign Prostatic Hyperplasia (BPH) is a common condition affecting older men, causing urinary symptoms that can significantly impact quality of life. Traditional treatments often involve medication or invasive surgical procedures. Prostate Artery Embolization (PAE) has emerged as a promising alternative, offering relief with fewer risks and a quicker recovery time.
The PAE Procedure
PAE is performed by interventional radiologists using advanced imaging techniques. The procedure involves:
- Inserting a small catheter into the artery in the wrist or groin
- Guiding the catheter to the prostate's blood vessels
- Injecting tiny particles to reduce blood flow to the prostate
- Causing the prostate to shrink, alleviating symptoms
Advantages of PAE
Find out if you are a candidate
Preservation of Sexual Function
Unlike some surgical alternatives, PAE has a lower risk of sexual side effects:
- Reduced risk of erectile dysfunction
- Lower incidence of retrograde ejaculation
Effective Symptom Relief
Studies have shown that PAE can provide significant improvement in urinary symptoms:
- Reduced urinary frequency and urgency
- Improved urinary flow
- Decreased prostate size
Lower Risk of Urinary Incontinence
Compared to surgical procedures like transurethral resection of the prostate (TURP), PAE has a lower risk of urinary incontinence
Patient Selection and Outcomes
PAE is suitable for men with moderate to severe BPH who have not responded to medical therapy or are not candidates for surgery. Ideal candidates are:
- Men with prostate volumes greater than 40cc
- Those who have failed medical therapy
- Patients seeking alternatives to surgery
Conclusion
Prostate Artery Embolization represents a significant advancement in the treatment of BPH. Its minimally invasive nature, coupled with its effectiveness and lower risk profile, makes it an attractive option for many patients. As more long-term data becomes available, PAE has the potential to become a standard treatment for BPH, offering relief to millions of men worldwide.
References
- Prostatic artery embolization (PAE) consists of blocking the arteries supplying the prostate to treat benign prostate hypertrophia (BPH)
- PAE is performed through a small incision in the upper thigh, providing access to the prostate's blood vessels
- The procedure is performed by interventional radiologists using X-rays and other imaging techniques to guide the catheter and inject embolic particles
- PAE offers benefits such as shorter recovery time, lower risk of sexual side effects, and no need for an indwelling Foley catheter
- PAE can improve urinary tract symptoms similarly to transurethral resection of the prostate (TURP), with advantages including lower risk of complications and shorter hospital stay