Prostate Artery Embolization

What is Prostate Artery Embolization?

Prostate artery embolization is a minimally invasive, no-scalpel procedure, performed through the small artery in front of your wrist, which represents a new treatment option for benign prostatic hyperplasia (BPH) or non-cancerous prostate enlargement.

BPH is a condition in which there is enlargement of the prostate gland that can cause a variety of uncomfortable urinary tract symptoms such as frequent night time urination, straining whilst urinating and incomplete voiding.

The traditional surgical treatments for benign prostatic hypertrophy can cause significant pain and are associated with a longer recovery and increased complications.

How is the PAE procedure performed?

The PAE procedure is performed through a small catheter inserted into one of the arteries in the forearm called the radial artery. The catheter is navigated up the arm, through the body and into the pelvis using a specialized X-ray machine and contrast ‘dye’. The specialized software makes a roadmap of your pelvic arteries and then the doctor can place the catheter directly into the artery that supplies the prostate gland.

Tiny microparticles are then injected into the prostate artery on either side which causes occlusion of the artery and subsequent shrinkage of the prostate gland.

What do I need to do prior to the PAE?

  • You are seen and assessed by our clinic urologist

  • You will be seen by the interventional radiologist

  • Have routine blood tests including a Full Blood Count, Kidney functions, A PSA test to assess your prostate gland and an INR (which will exclude an underlying bleeding disorder)

  • Faster recovery time compared to surgery

  • Significant improvement in urinary symptoms and quality of life

  • Lower risk of sexual side effects

  • Less risk of incontinence

What are the benefits of the PAE procedure?

  • Virtually no blood loss

  • Minimally invasive

  • Less likelihood of requiring catheterization

  • Overnight stay in hospital

  • Have an ultrasound

  • A CT scan of the pelvic arteries in order exclude any abnormalities of the arteries

Who is a candidate for PAE?

  • You have urinary symptoms

  • You have an enlarged prostate gland

  • You have failed or no longer wish to continue medical therapy

  • You prefer to have a minimally invasive treatment

  • Your urologist has advised that surgical treatment is risky

  • You experience adverse side effects from your current prostate medication

  • You are concerned about possible loss of sexual function after surgery

Each patient will be assessed by a team of experts including a urologist and interventional radiologist who will make a decision as to whether you are a candidate for this procedure.

Your symptom severity can be assessed by the IPSS Score.