Iowa Radiology Blog

Prostate Artery Embolization for Enlarged Prostate

Written by Iowa Radiology | Jan 14, 2025 3:00:00 PM

Benign prostatic hyperplasia (BPH), commonly known as enlarged prostate, is a common condition that affects many men as they age. In fact, about one in four men experience symptoms related to BPH by age 55, and half of men encounter such symptoms by age 75. An enlarged prostate can constrict the urethra, typically causing urinary symptoms such as

  • Frequent or urgent urination
  • Waking multiple times overnight to urinate
  • Difficulty starting urination
  • A urine stream that’s weak or that stops and starts
  • Inability to fully empty the bladder
  • Leakage after completing urination

These symptoms can be quite disruptive and distressing. Frequent trips to the bathroom, difficulty starting or maintaining urination, and the frustrating sensation of incomplete bladder emptying can significantly impact quality of life.

 

What Is Prostate Artery Embolization?

Prostate artery embolization (PAE) is a non-surgical treatment that has proven to be highly effective at reducing prostate size and PSA levels. The procedure, which is performed by an interventional radiologist, targets and blocks specific blood vessels that feed the prostate, thereby reducing its size and alleviating the urinary symptoms associated with an enlarged prostate.

 

Benefits of PAE

PAE is transforming the way BPH is managed, offering men a safer, less invasive alternative to surgery. Unlike traditional surgical treatments such as transurethral resection of the prostate (TURP), PAE is performed through a tiny incision in the groin or wrist. Using state-of-the-art imaging, the radiologist guides a thin catheter into the vessels that supply the prostate with blood and injects tiny particles that reduce blood flow. Following this targeted approach, the prostate begins to shrink, relieving pressure on the urethra and improving urinary symptoms. Patients may begin to experience relief within days of the procedure and continue to notice improvement over the next several weeks.

 

PAE offers several benefits that enhance patient comfort, safety, and outcomes:

 

Minimally Invasive

PAE avoids the large incisions and general anesthesia required for traditional surgery, making it a safer option for many patients.

 

Short Recovery Time

Unlike surgical procedures like TURP, which involves a hospital stay, PAE is typically done on an outpatient basis. Following the procedure, most patients can return to their normal activities within a few days, allowing them to quickly get back to their routines without significant disruption.

 

Reduced Risk of Complications

Posing fewer risks than surgical procedures, PAE minimizes the likelihood of complications such as

  • Urinary incontinence
  • Sexual side effects, including erectile dysfunction and retrograde ejaculation
  • Heavy bleeding
  • Infection

 

Proven Effectiveness

Studies show that PAE provides long-term symptom relief for many patients, helping them regain control over their lives with minimal risk.

 

Who Is a Candidate for PAE?

Prostate artery embolization is an excellent option for many men who experience moderate to severe symptoms of BPH. You may be a candidate for PAE if

  • You have been diagnosed with BPH and are struggling with persistent urinary symptoms
  • You are seeking an alternative to surgery or are not a candidate for traditional surgical treatments due to health conditions
  • You prefer a minimally invasive procedure with a faster recovery time and fewer risks

Every patient is unique, and determining whether PAE is right for you requires a thorough evaluation. At Iowa Radiology, our specialists will work closely with you to assess your condition, review your medical history, and help you determine the most suitable treatment option for your needs.

 

Why Choose Iowa Radiology for PAE?

When performing PAE, an experienced radiologist and cutting-edge technology are essential. At Iowa Radiology, we are proud to offer patients unmatched expertise and compassionate care.

 

Expert Physicians

Iowa Radiology’s Dr. Olaf Kaufman and Dr. David Magill are leading interventional radiologists with extensive experience performing PAE. Their dedication to precision and safety helps to ensure excellent outcomes for our patients.

 

State-of-the-Art Technology

We utilize the latest imaging equipment to precisely guide every step of the procedure. This advanced technology allows for unparalleled accuracy, minimizing risks and enhancing effectiveness.

 

Comprehensive Patient Support

From your initial consultation to post-procedure care, our team is with you every step of the way. We take the time to answer your questions, address your concerns, and ensure you feel confident and informed throughout the process.

 

Patient-Centered Care

At Iowa Radiology, we treat every patient with respect and empathy. We understand that seeking medical treatment can be stressful, and we strive to create a comfortable, welcoming environment where you feel supported and heard. With a commitment to innovation and patient well-being, we ensure that every patient receives personalized, effective treatment.

 

Is PAE Right for You?

BPH doesn’t have to control your life. If you’re tired of dealing with frustrating symptoms, prostate artery embolization may be the solution you’ve been looking for. With proven effectiveness, minimal risks, and quick recovery, PAE can help you regain your quality of life without the need for invasive surgery. The expert team at Iowa Radiology is here to guide you through the process, answer your questions, and help you determine if PAE is the best choice for you.

 

 

Resources

Georgia Prostate Institute. Benefits of PAE Treatment. GaProstate.com. Published January 25, 2024. Accessed December 4, 2024. https://www.gaprostate.com/pae-treatment/benefits/.

 

Interventional News. Study finds PAE “highly effective” long-term treatment for enlarged prostate. Published March 1, 2023. Accessed December 4, 2024. https://interventionalnews.com/study-finds-pae-highly-effective-long-term-treatment-for-enlarged-prostate/.

 

Johns Hopkins Medicine. Prostatic Artery Embolization. HopkinsMedicine.org. Accessed December 4, 2024. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/prostatic-artery-embolization.

 

Mayo Clinic. Benign prostatic hyperplasia (BPH). MayoClinic.org. Published September 24, 2024. Accessed December 4, 2024. https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/symptoms-causes/syc-20370087.

 

Mayo Clinic. Transurethral resection of the prostate (TURP). MayoClinic.org. Published March 21, 2024. Accessed December 4, 2024. https://www.mayoclinic.org/tests-procedures/turp/about/pac-20384880

 

Mouli S, Salem R, McClure TD. Prostate Artery Embolization for Benign Prostatic Hyperplasia. J Urol. 2024;212(1):216–9. dx.doi.org/10.1097/JU.0000000000003976.

 

UT Health San Antonio Department of Radiology. Prostate Artery Embolization. Published August 9, 2019. Accessed December 4, 2024. https://lsom.uthscsa.edu/radiology/education/residencies/interventional/vascular-interventional/prostate-artery-embolization/.