Prostate Embolization in Oregon Offers a Non-Surgical PAE Procedure for BPH
Get trusted care for benign prostatic hyperplasia and related urinary symptoms. Our Oregon-based BPH urology services include expert evaluation, diagnosis, and minimally invasive treatment options like Prostatic Artery Embolization (PAE)—a non-surgical approach to treating enlarged prostate conditions.
Practices In Oregon
Prostate and Urinary Health Care for Oregon Men
If you’re experiencing BPH symptoms such as frequent urination, urinary retention, or weak urine flow, our Oregon-based care team is here to help. We focus on treating common prostate conditions with effective, nonsurgical methods.
We treat:
- Benign prostatic hyperplasia (BPH)
- Enlarged prostate
- Bladder problems
- Urinary tract infections
- Nighttime urination (nocturia)
- Weak or interrupted urine stream
- Incomplete bladder emptying
- Urinary incontinence
Benefits of Prostatic Artery Embolization for Enlarged Prostate
PAE is a non-surgical option that improves urine flow by shrinking enlarged prostate tissue. The procedure blocks the blood supply to the areas of the prostate gland causing symptoms.
Personalized Imaging-Guided Treatment
We use detailed imaging to map the blood vessels feeding the prostate, allowing precise targeting without damaging surrounding tissue.
Quick Recovery with No Hospital Stay
Most patients return home the same day. PAE avoids incisions, making it a low-risk alternative to traditional prostate surgery like transurethral resection (TURP).
Long-Term Relief Without Major Side Effects
PAE helps reduce pressure on the bladder neck and improves overall urine flow. It has a lower risk of sexual side effects, such as retrograde ejaculation, compared to surgery.
What to Expect When You Begin BPH Treatment in Oregon
Your care plan is based on your medical history, health status, and the severity of your lower urinary tract symptoms. Our Oregon providers are experienced in managing complex cases, including patients with very large prostate glands or other related conditions like kidney stones or bladder issues.
Steps in the process:
- Initial Assessment: Take our free online assessment to see if you may benefit from treatment.
- Consultation: Meet with a local prostate MD to discuss your BPH diagnosis, review test results such as a digital rectal exam or blood test, and explore your treatment options.
- Procedure Day: Receive PAE as an outpatient procedure, performed by an interventional radiologist using real-time imaging.
We’re here to help you manage prostate problems with modern, effective care—right here in Oregon!
Frequently Asked Questions About BPH and Prostate Artery Embolization in Oregon
What is benign prostatic hyperplasia (BPH)?
Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland that commonly affects men as they age. As the prostate grows, it can press against the urethra and interfere with normal urine flow. This often leads to lower urinary tract symptoms (LUTS), such as frequent urination, weak urine stream, difficulty starting urination, or a feeling that the bladder hasn’t emptied completely.
BPH is not prostate cancer, but the two conditions can share similar symptoms, so proper evaluation is important. This condition is one of the most common urological issues in older men and is also referred to as benign prostatic hyperplasia BPH in medical terms.
When should I see a doctor about BPH symptoms?
You should consult a health care provider if you’re experiencing urinary symptoms that disrupt daily activities or sleep, such as frequent nighttime urination (nocturia), urgency, weak stream, or difficulty emptying the bladder.
If you notice more serious signs like urinary retention, blood in the urine, or recurrent urinary tract infections, it’s important to seek care promptly. These symptoms could indicate that the enlarged prostate is causing bladder or kidney problems, and early treatment can help prevent long-term complications.
What is Prostate Artery Embolization (PAE) and how does it treat BPH?
Prostate Artery Embolization is a minimally invasive procedure designed to treat benign prostatic hyperplasia. It works by blocking the arteries that supply blood to the enlarged prostate tissue. A catheter is inserted through a small puncture in the wrist or groin and guided to the prostate using advanced imaging. Tiny particles are injected to reduce blood flow to the overgrown areas.
As a result, the prostate gradually shrinks, relieving pressure on the urethra and improving symptoms such as weak urine flow, frequent urination, and incomplete bladder emptying.
How is PAE different from traditional prostate surgery like TURP?
Unlike transurethral resection of the prostate (TURP), PAE does not involve cutting into the prostate or physically removing tissue. Instead of using surgical tools to destroy prostate tissue or remove prostate cells, PAE works by blocking the blood flow that feeds the enlarged prostate, causing it to shrink over time.
The procedure is done through a small puncture, usually without general anesthesia, and is guided by real-time imaging. It’s performed by an interventional radiologist and typically takes one to two hours.
PAE also carries a lower risk of side effects like urinary incontinence, erectile dysfunction, and retrograde ejaculation. Most patients go home the same day and return to normal activities within a few days.
Who is a good candidate for PAE?
You may be a good candidate for Prostate Artery Embolization if you:
- Have moderate to severe lower urinary tract symptoms related to BPH
- Have an enlarged prostate causing urinary retention or weak urinary stream
- Prefer a non-surgical option instead of traditional prostate surgery
- Have not improved with medications like alpha blockers
- Have other health conditions that make prostate surgery too risky
- Have very large prostate glands not suitable for surgical treatment
To begin, take our free online assessment so we can review your symptoms and medical history before your clinic visit. This will help us determine if PAE is the right option for you.
Is PAE effective for men with very large prostate glands?
Yes, prostate artery embolization (PAE) has been shown to be effective in treating men with very large prostate glands. In cases where traditional surgical procedures such as transurethral resection of the prostate (TURP) may not be recommended due to the size of the prostate or existing medical conditions, PAE offers a minimally invasive alternative. By reducing blood flow to the enlarged prostate tissue, the procedure gradually shrinks the gland and relieves pressure on the bladder and urethra, improving urine flow and reducing urinary retention.
What should I expect before the PAE procedure?
Before undergoing PAE, you’ll meet with a healthcare provider to confirm that you’re a good candidate for this minimally invasive procedure. Your provider will review your medical history, symptoms, and overall health.
Several tests may be done to help evaluate your condition, including:
- Digital rectal exam (DRE): A physical exam to check the size and shape of the prostate gland.
- PSA blood test: Measures prostate-specific antigen levels, which may be elevated in cases of BPH, infection, or prostate cancer.
- Urinalysis: Detects signs of urinary tract infections, blood in the urine, or other abnormalities.
- Imaging studies: Ultrasound or MRI to view the size and structure of the enlarged prostate tissue.
- CT or MR angiography: Helps map the blood vessels supplying the prostate gland for accurate treatment planning.
These tests help your care team determine if PAE is the right treatment option for relieving your lower urinary tract symptoms.
How long does the PAE procedure take and is it painful?
The PAE procedure typically takes between 1 to 2 hours, though the duration can vary depending on the size and location of the prostatic arteries. It is performed by an interventional radiologist through a small puncture in the wrist or groin. General anesthesia is not required.
Instead, patients receive local anesthesia and light sedation to keep them comfortable throughout the procedure. Most patients do not experience pain during the procedure itself. Discomfort is usually limited to lying flat for the duration of the outpatient procedure.
What is the typical recovery time after prostate artery embolization?
Most patients recover quickly after undergoing PAE. Since it is a minimally invasive procedure, there is no need for stitches or general anesthesia. Discomfort such as mild pelvic pain, urinary symptoms, or fatigue may occur but usually resolves within one to two weeks.
Many patients are able to return to light daily activities within a few days and resume normal routines within a week. Because PAE does not involve cutting or removing prostate tissue, recovery is typically much faster than traditional prostate surgery.
How soon will I notice symptom relief after PAE?
Improvements in urinary symptoms such as weak urine flow, frequent urination, or urinary urgency may begin within a few weeks after the procedure. However, maximum symptom relief is generally achieved between two to three months as the enlarged prostate gland gradually shrinks and pressure on the bladder and urethra is reduced. This process helps improve urine flow and reduces the frequency of lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH).
Will PAE affect my sexual function or cause side effects?
PAE is known for preserving sexual function. Unlike surgical treatments such as transurethral resection of the prostate (TURP), it has a much lower risk of causing erectile dysfunction or retrograde ejaculation. Because it doesn’t remove or damage prostate tissue, it helps maintain normal sexual function.
Some patients may experience mild symptoms after the procedure, such as urinary discomfort or a low-grade fever. These side effects are temporary and typically resolve within a few days. Serious complications are rare.
Do I need follow-up care after the PAE procedure?
Yes, follow-up care is an important part of the recovery process after prostate artery embolization (PAE). Your health care provider will schedule appointments to monitor your response to the procedure and assess improvement in urinary symptoms such as weak urine flow, urinary retention, and frequent urination.
Follow-up may include imaging studies and physical exams to track the reduction in prostate size and evaluate any changes in bladder function. This helps ensure the long-term success of the treatment and allows early detection of any potential complications.
How long do the results of PAE last?
PAE has been shown to provide lasting relief from lower urinary tract symptoms caused by benign prostatic hyperplasia. Most patients experience significant improvement in urine flow, reduced urgency, and fewer nighttime trips to the bathroom for several years after treatment. While results vary, studies suggest that symptom relief can last between 3 to 5 years or more. In some cases, repeat treatment may be considered if symptoms return due to continued prostate growth.
Is prostate artery embolization covered by insurance?
Yes, prostate artery embolization is typically covered by many insurance plans as a medically necessary treatment for BPH. However, coverage can vary depending on your provider and policy details. It is best to contact your insurance provider directly to confirm your benefits and any requirements for authorization. If you have any questions, feel free to reach out to us at info@myprostateclinic.com.