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Prostatic Artery Embolization: Everything You Need to Know About

Mar 22, 2023

Interventional Radiology

Prostatic Artery Embolization: Everything You Need to Know About Prostatic Artery Embolization: Everything You Need to Know About

Usually, when most men are diagnosed with an enlarged prostate, they are usually given only one surgical option: TURP or transurethral resection of the prostate. On average 2 in every 3 men undergo BPH which is the most common age related benign enlargement of the prostate gland. What most people don’t know is that surgery is not the only option. There is a less invasive, safe and effective way to get rid of BPH symptoms with prostate artery embolization (PAE). Read more to explore PAE.

What is Prostatic Artery Embolization? 

It is a safe and effective minimally invasive image guided treatment for BPH. Prostatic artery embolization is gaining widespread popularity in clinical practice, and is a evidence based and proven therapy that is being widely practiced in the west. 

What Happens During Prostatic Artery Embolization?

A small catheter is inserted into the femoral artery in the groin and guided to the prostate artery. Tiny beads are then injected into the artery to block blood flow to the prostate, causing it to shrink, and causing a improvement in BPH symptoms that can usually be seen within a few weeks. The procedure is performed by Interventional radiologists who are highly trained specialists that perform image guided therapies.

Why is PAE a safer option for BPH than Surgical Procedures?

PAE is better in comparison to traditional treatments of the prostate  in many ways. Below 

  • No risk of urinary incontinence. 
  • No Sexual side effects.
  • Quicker recovery time and same day discharge. 
  • No anaesthesia required.  
  • Very rare incidence of bleeding.
  • Less pain. 
  • Reduced risk of infection compared to surgery.
  • Generally low risk of prolonged urinary catheterization times compared to surgery.

What Are the Potential Risks Involved in PAE Procedure 

The risks of prostate artery embolization are similar to the risks of any interventional radiology procedure which can be managed effectively by interentional radiologists and urologists. To name a few are:

  • Rare occurrence of bleeding at catheter entry site
  • 3 to 5 % of patients can experience urinary tract infection after the procedure but UTIs  can be safely treated with antibiotics
  • Very rarely, less than 1 in 200 men undergoing PAE can develop a penile ulcer. These ulcers are temporary and resolve within 2 to 3 weeks - and can be treated with topical creams and painkillers without any permanent damage.

Why Is it Necessary to Discuss it with a Doctor First?

The decision for the treatment depends on several clinical and psychological factors, including the patient's need for therapy, level of risk, overall health, and personal preference. PAE is not recommended for men with prostate cancer. This treatment is not for men who have previously undergone prostate surgery or radiation therapy. It's essential to consult your doctor beforehand to determine whether PAE is the right treatment option for you. 

Consult Dr.Arjun Somireddy for Prostatic Artery Embolization

Prostate Artery Embolization (PAE) is a non-surgical alternative to traditional treatment options for benign prostatic hyperplasia (BPH) with many potential benefits. The procedure requires advanced imaging equipment and significant training to master the technique which is why you should choose Dr. Arjun Somireddy, a leading interventional radiologist in Hyderabad for your PAE procedure. He has worked with premier hospitals in Hyderabad, having expertise in successfully treating patients with Benign prostatic hyperplasia.

FAQs

What is Benign Prostatic Hyperplasia?

Benign prostatic hyperplasia is a condition in men in which the prostate gland is enlarged and is not cancerous. Men aged 50-60 years have 50% higher chances of getting affected, and the risk rises with age. Prostate growth occurs in two phases. Initially, during puberty, the prostate doubles in size. BPH usually occurs during the second growth phase. The second development phase begins around age 25 and continues most of a man's life span. 

Symptoms of benign prostatic hyperplasia called lower urinary tract symptoms (LUTS) occur most often due to prostatic  pressure on the urethra or bladder neck. Its important to differentiate voiding and storage related urinary symptoms using tests such as uroflowmetry and in some indeterminate cases using invasive urodynamics. Patients with voiding symptoms benefit from therapies related to prostate size reduction like PAE or TURP while patients with storage symptoms usually have problem related to bladder health and therefore might not benefit from treatment with PAE.

What Are the Symptoms of Benign Prostatic Hyperplasia?

Lower urinary tract symptoms of benign prostatic hyperplasia may include:

  • Frequent or urgent need to urinate
  • Increased frequency of urination at night (nocturia)
  • Difficulty starting urination.
  • Interrupted or decreased force of urine flow.
  • Weak urine stream or a stream that stops and starts.
  • Dribbling at the end of urination
  • Urinary retention -Inability to empty the bladder.
  • Urinary Incontinence – involuntary voiding

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