What is Prostatic Artery Embolisation (PAE)?

Prostatic Artery Embolisation (PAE) is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), a common condition where the prostate gland enlarges, often causing urinary problems such as frequent urination, urgency, weak urine flow, and incomplete emptying of the bladder. PAE targets the blood vessels feeding the prostate, reducing blood flow to the gland and causing it to shrink. This procedure is an effective alternative to surgery, providing symptom relief with a shorter recovery time.

How Prostatic Artery Embolisation Works:

PAE is performed by an interventional radiologist, a specialist trained in minimally invasive procedures. The procedure is done under local anesthesia and sedation, ensuring comfort throughout. A small incision is made, usually in the groin area, where a catheter is inserted into the femoral artery. Using real-time X-ray guidance (fluoroscopy), the catheter is carefully guided to the prostatic arteries. Tiny particles are then injected to block the blood flow to the prostate, causing the gland to shrink and relieve the symptoms of BPH.

Why Choose Prostatic Artery Embolisation?

• Minimally Invasive: Unlike traditional prostate surgery (such as TURP or prostatectomy), PAE requires no large incisions. It is performed through a small puncture, resulting in less pain, fewer risks, and a faster recovery.
• Effective Symptom Relief: Many men experience a significant reduction in urinary symptoms following the procedure, such as less frequent urination, better urinary flow, and fewer nighttime trips to the bathroom.
• Preserves Erectile Function: PAE does not affect sexual function or lead to incontinence in the majority of patients, making it a preferred option for those concerned about side effects.
• Quick Recovery: Since PAE is minimally invasive, most patients can resume normal activities within a few days, with little to no downtime.
• Suitable for High-Risk Patients: For men who are not candidates for traditional prostate surgery due to other health conditions, PAE offers a safe and effective alternative.

Who Should Consider Prostatic Artery Embolisation?

PAE is an ideal treatment for men who:

• Suffer from moderate to severe BPH symptoms: This includes frequent urination, urgency, weak urine stream, or difficulty fully emptying the bladder.
• Are looking for an alternative to surgery: For those who want to avoid the risks of more invasive procedures like transurethral resection of the prostate (TURP) or prostatectomy.
• Have failed or are not suitable for other BPH treatments: PAE may be considered when other treatments (such as medication or lifestyle changes) haven’t provided sufficient relief.
• Are concerned about preserving sexual function and quality of life: PAE has a lower risk of sexual side effects compared to traditional prostate surgery.

What to Expect During the Procedure:

PAE is typically performed in a hospital or outpatient clinic and takes around 1 to 2 hours. During the procedure:

1. Preparation: You’ll be given a sedative and local anesthesia to ensure you’re comfortable.
2. Accessing the Arteries: A small catheter is inserted through a small incision in the groin area and threaded up to the arteries feeding the prostate.
3. Embolisation: Tiny particles are injected into the prostatic arteries to block blood flow to the prostate, causing it to shrink gradually over time.
4. Monitoring: The procedure is closely monitored with real-time imaging to ensure accurate placement of the catheter and proper delivery of the embolic material.

Recovery After Prostatic Artery Embolisation:

One of the major advantages of PAE is the quick recovery time. While you may experience some mild discomfort or pelvic pressure after the procedure, most men can go home the same day. You may be advised to rest for a day or two, but you can generally return to light activities within 1-2 days.

Some men may experience mild urinary irritation, such as a frequent urge to urinate or mild pain during urination, but these symptoms usually resolve within a few weeks. Most patients notice significant improvements in their urinary symptoms within a few months as the prostate continues to shrink.

Benefits of Prostatic Artery Embolisation:

• Minimally invasive with no major incisions
• Short recovery time—patients can typically resume normal activities within days
• Effective for reducing symptoms of BPH without the risks of traditional surgery
• Preserves sexual function and continence
• Fewer complications and a lower risk of side effects compared to surgery

Is Prostatic Artery Embolisation Right for You?

If you are experiencing bothersome symptoms of benign prostatic hyperplasia (BPH) and are looking for an effective, minimally invasive alternative to surgery, Prostatic Artery Embolisation may be the right solution.

Our expert team of vascular specialists will work closely with you to assess your condition and determine if PAE is the best treatment option for your needs. Contact us today to schedule a consultation and take the first step towards improving your prostate health and quality of life.