Prostate Artery Embolization: A novel treatment for Benign Prostate disease

Posted on: 04/22/2019

Prostate artery embolization (PAE) is a minimally invasive endovascular treatment option for men with lower urinary tract symptoms resulting from Benign Prostate Hyperplasia (BPH). The treatment is performed on patients whose symptoms are poorly controlled by medical therapy and on patients who are unable to tolerate medical therapy. PAE provides patients with an alternative to transurethral and open surgical procedures. PAE is performed by an Interventional Radiologist is an angiography suite in a hospital setting and requires overnight admission to the hospital. PAE is accomplished by placing a special catheter into the artery of a patient’s groin or wrist to access the arteries supplying the prostate gland. Once the arterial blood supply of the prostate is accessed with the special catheter, the arteries are blocked with tiny particles. These tiny particles decrease blood supply to the prostate with subsequent improvement in urinary symptoms and shrinkage of the gland. The treatment advantages of PAE are quicker recovery time, no risk of retrograde ejaculation, and no adverse effect on sexual function (improved sexual function in some patients). Patients can expect to have significant improvement in symptoms one month after the treatment. PAE can be done for patients who have had prior prostate surgery, patients who have large prostate glands (which may limit may minimally invasive surgical options) and patients who are dependent on Foley catheters. Several studies have established the safety of PAE, and continual extensive research is in progress all over the world to establish its long-term efficacy. Although long-term prospective trials are still in progress, the results from available research have been very encouraging. PAE has been approved by the FDA for the use of embolic particles in the US.
If you would like to learn more about whether you or a love one is a candidate for such a procedure, please call Radiology Group of Abington at 215-481-6226 to schedule a consult with Dr. Vinit Khanna.

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