Prostatic Artery Embolization (PAE)

Understand the PAE Treatment:

Prostatic Artery Embolization (PAE) Treatment

PAE is performed as an outpatient procedure and no general anesthesia is required.

The procedure begins with a tiny pinhole like puncture in your upper thigh to gain access to your arterial system. Using specialized X-ray equipment, a doctor called an Interventional Radiologist (IR) guides a catheter (a small hollow tube) to the vessels that supply blood to your prostate.

One year after PAE, average prostate size is seen to shrink by approximately 40%, easing urinary symptoms, sparing erectile function, preserving sexual function and improving quality of life. Men who’ve undergone PAE have reported experiencing a high degree of satisfaction, which has long lasting durable results.1,2

Prostatic Artery Embolization (PAE)
Prostatic Artery Embolization (PAE)

Once the IR reaches this location, embolic material (small particles about the size of a grain of sand) is injected through the catheter and into these blood vessels, decreasing blood flow to your prostate. The IR then repositions the catheter in order to treat the other side of your prostate.

Prostatic Artery Embolization (PAE)
Prostatic Artery Embolization (PAE)

Depriving the prostate of oxygenated blood will cause it to shrink, thereby improving your urinary symptoms.

Pre Embolization prostate
Post Embolization prostate

When the IR has completed embolization of the prostatic arteries, the catheter is gently removed. The entire PAE treatment can typically take anywhere from one to four hours to perform.

Discover Key Advantages of PAE

Key Advantages

PAE is a safe treatment option for men with benign prostatic hyperplasia (BPH) and, like other minimally invasive procedures, has significant advantages over conventional surgery.

One year after PAE, average prostate size is seen to shrink by approximately 30%, easing urinary symptoms, sparing erectile function, and improving quality of life. Men who’ve undergone PAE have reported experiencing a high degree of satisfaction, which was also sustained over one year following the procedure.1,2

A number of benefits:

• Minimally invasive procedure
⦁ Virtually no blood loss
⦁ Can be performed as an outpatient procedure
⦁ Offers no hospital stay and a faster recovery time when compared to surgery3
⦁ Less likely to require urethral catheterization in comparison to surgery4
⦁ Relieves lower urinary tract symptoms (LUTS) such as feelings of urgency and frequency especially at night (nocturia), incomplete bladder emptying, weak urine stream, intermittency, and straining while urinating5
⦁ Can improve LUTS without surgery or the risk of sexual side effects or incontinence5
⦁ Overall significant improvement in quality of life
⦁ Can be used without limits on prostate size, urethral narrowing, or bladder capacity3,6,7

Are You a Candidate?

Is Prostatic Artery Embolization (PAE) right for me?

You may be a candidate for PAE if:

⦁ You’re experiencing symptoms associated with benign prostatic hyperplasia (BPH)
⦁ You experience an adverse reaction to medication such as intolerance, side effects or allergy
⦁ You want to preserve your sexual function
⦁ You don’t want surgery and you’re looking for minimally-invasive alternatives
⦁ You’re not a candidate for BPH surgical treatment options

PAE and Sexual Function

When researching and reviewing alternatives to surgical procedures and the other BPH treatment options available, it’s important to understand how different treatments can affect you and your lifestyle. If preserving your sexual function is important to you, PAE may be a viable option for you.

PAE ordinarily alleviates lower urinary tract symptoms, while having little to no effect on your ability to have an erection.8,9,10

If you have any concerns about PAE and preserving your sexual function, our team of Doctors can discuss your specific situation, and determine which treatment option is best for you.

PAE at 1Prostate Center

1Prostate center is one of the most experienced centers in the Tristate area for Prostate Artery Embolization (PAE) treatment. Our veteran Urology and Interventional Radiology team has treated hundreds of BPH patients with excellent outcomes.

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References:

  1. Carnevale, F. C., da Motta-Leal- Filho, J. M., MD, Antunes, A. A., Baroni, R. H., Marcelino, A. S. Z., Cerri, L. M. O., Yoshinaga, E. M., MD, Cerri, G. G., & Srougi, M. (2013). Quality of life and clinical symptom improvement support prostatic artery embolization for patients with acute urinary retention caused by benign prostatic hyperplasia. Journal of Vascular and Interventional Radiology, 24(4): 535-542. doi: 10.1016/j.jvir.2012.12.019
  2. Grosso, M., Balderi, A., Arno, M., Sortino, D., Antonietti, A., Pedrazzini, F., Giovinazzo, G., Vinay, C., Maugeri, O., Ambruosi, C., Arena, G. (2015). Prostatic artery embolization in benign prostatic hyperplasia: preliminary results in 13 patients. La Radiologia Medica, 120: 361–368. doi: 10.1007/s11547-014- 0447-3
  3. Gao, Y. A., Huang, Y., Zhang, R., Yang, Y. D., Zhang, Q., Hou, M., & Wang, Y. (2014). Benign prostatic hyperplasia: prostatic arterial embolization versus transurethral resection of the prostate– a prospective, randomized, and controlled clinical trial. Radiology, 270(3): 920-928. doi: 10.1148/radiol.13122803
  4. McWilliams, J. P., Kuo, M. D., Rose, S.C., Bagla, S., Caplin, D. M., Cohen, E. I., Faintuch, S., Spies, J. B., Saad, W. E., Nikolic, B. (2014). Society of Interventional Radiology position statement: prostate artery embolization for treatment of benign disease of the prostate. Journal of Vascular and Interventional Radiology, 25: 1349-1351. ⦁ http://dx.doi.org/10.1016/j.jvir.2014.05.005   http://www.scvir.org/clinical/cpg/SIR_Pos_Statmt_PAE_Benign_dis_Prostate.pdf
  5. Pisco, J., Pinheiro, L. C., Bilhim, T., Duarte, M., Tinto, H. R., Fernandes, L., Santos, V. V., & Oliveira, A. G. (2013). Prostatic arterial embolization for benign prostatic hyperplasia: short- and intermediate-term results. Radiology, 266(2): 668-77. doi: 10.1148/radiol.12111601
  6. Bhatia, S., Kava, B., Pereira, K., Kably, I., Harward, S., & Narayanan, G. (2015). Prostate artery embolization for giant prostatic hyperplasia. Journal of Vascular and Interventional Radiology. 26(10): 1583-1585. doi: 10.1016/j.jvir.2015.05.024
  7. Isaacson AJ, et al. Prostatic Artery Embolization using Embosphere Microspheres for Prostates Measuring 80-150cm: Early Results from a US Trial. J Vasc Interv Radiol. 2016 May;27(5):709-14.8
  8. Pisco, J., Pinheiro, L. C., Bilhim, T., Duarte, M., Tinto, H. R., Fernandes, L., Santos, V. V., & Oliveira, A. G. (2013). Prostatic arterial embolization for benign prostatic hyperplasia: short- and intermediate-term results. Radiology, 266(2): 668-77. doi: 10.1148/radiol.12111601
  9. Carnevale, F. C., da Motta-Leal- Filho, J. M., MD, Antunes, A. A., Baroni, R. H., Marcelino, A. S. Z., Cerri, L. M. O., Yoshinaga, E.M., MD, Cerri, G. G., & Srougi, M. (2013). Quality of life and clinical symptom improvement support prostatic artery embolization forpatients with acute urinary retention caused by benign prostatic hyperplasia. Journal of Vascular and Interventional Radiology, 24(4): 535-542. doi: 10.1016/j.jvir.2012.12.019
  10. Grosso, M., Balderi, A., Arno, M., Sortino, D., Antonietti, A., Pedrazzini, F., Giovinazzo, G., Vinay, C., Maugeri, O., Ambruosi, C., Arena, G. (2015). Prostatic artery embolization in benign prostatic hyperplasia: preliminary results in 13 patients. La Radiologia Medica, 120: 361–368. doi: 10.1007/s11547-014- 0447-3

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