Treatments

PROSTATE ARTERY EMBOLIZATION

TREATMENTS

PROSTATE ARTERY EMBOLIZATION

Prostate Artery Embolization

What is PAE?
(Prostate Artery Embolization)


Prostate artery embolization (PAE) is a minimally invasive procedure that can alleviate symptoms related to benign prostatic hyperplasia (BPH) such as urinary frequency, urgency, difficulty starting urination, a weak urinary stream, and feelings of incomplete bladder emptying.

American Urological Association Guidelines (2023) now endorse the use of PAE for the treatment of men with symptoms from an enlarged prostate (BPH).

Who is affected?
Almost 90% of men over the age of 45 will have symptoms of an enlarged prostate (BPH) at some point in their lives.
Why PAE?
There is little to no risk of sexual side effects, urinary strictures, incontinence, and no need for a urinary catheter (in most cases).  Return to work the next day.
The approach is done through the wrist in the same way the cardiologist places cardiac stents. The only limitation post-treatment is no heaving lifting with the left hand for 5 days.

What are the benefits of PAE?


  • No surgical cuts and almost no blood loss: Unlike traditional surgery, PAE doesn’t require any incisions. It is the least invasive BPH procedure.
  • Faster recovery: As an outpatient procedure, patients can go home the same day and return to normal activities quickly.
  • No Foley catheter: Unlike many prostate procedures, PAE typically doesn’t require a Foley catheter after the treatment. This means you can avoid the discomfort and inconvenience of having a catheter for days or weeks during recovery.
  • Reduced side effects: PAE has a lower risk of sexual and urinary side effects compared to other treatments, such as:
    • Erectile dysfunction (PAE had improvement in erections)
    • Retrograde ejaculation (rarely occurs in PAE)
    • Urinary leakage (to date no patients have leaked after a PAE)
  • Effective symptom relief: Many patients experience significant improvement in their urinary symptoms.
  • Preserve the prostate: Unlike some treatments, PAE doesn’t remove the prostate gland.

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  • Performed as an outpatient procedure, you can usually go home the same day
  • Does not require insertion of a urinary catheter, no uncomfortable Foley for days
  • Almost no blood loss

When is Surgery Indicated?

Patients need surgery if they are having recurrent bladder infections, renal failure, bladder stones, blood in their urine and or the medication does not work or the side effects are too much for the patient to handle.

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Prostate Artery Embolization
Prostate Artery Emobilization

Are you suitable for PAE?


You might be a good candidate for PAE if:
● You’re experiencing bothersome urinary symptoms due to an enlarged prostate (like almost 90 % of men over 45 will do in their lifetime!)
● You’ve tried medications but haven’t found relief or are bothered by its severe sexual side effects.
● You want to avoid traditional surgery
● You have other health conditions that make a different type of surgery risky
However, there are many more important factors to consider. We will need to evaluate your specific situation to determine if it’s the best option for you.


Why Choose Dr. Art Rastinehad?


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  • Performed as an outpatient procedure, you can usually go home the same day
  • Does not require insertion of a urinary catheter, no uncomfortable Foley for days
  • Almost no blood loss

When is Surgery Indicated?

Patients need surgery if they are having recurrent bladder infections, renal failure, bladder stones, blood in their urine and or the medication does not work or the side effects are too much for the patient to handle.

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Prostate Artery Embolization Expert
Prostate Artery Embolization

About


Prostate artery embolization (PAE) is a minimally invasive procedure that can alleviate symptoms related to benign prostatic hyperplasia (BPH) such as urinary frequency, urgency, difficulty starting urination, a weak urinary stream, and feelings of incomplete bladder emptying.

Who is affected?
Almost 90% of men over the age of 45 will have symptoms of an enlarged prostate (BPH) at some point in their lives.

Typical 1st Treatments

Behavioral Modifications – stopping drink fluids 4 hrs before bed

Oral Medications – Alpha Blockers and 5-Alpha Reductase Inhibitors

(These Medications can cause severe sexual side effects)

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What is a Selective Arterial Prostatic Embolization or PAE? It is a non surgical technique where the blood flow to the prostate is blocked and the prostate shrinks on its own. This is performed in an outpatient interventional radiology practice. Typically patient do not require a catheter after this procedure. This does depend on how large your prostate is.

FDA to expand indication for Merit’s Embosphere® Microspheres. June 22, 2017 – New indication for specific prostate artery embolization. A technique that can treat a mans BPH and improve erections all at the same time.

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Prostate Artery Embolization

Why Choose PAE?


There are a number of different procedures that may be used to treat BPH. PAE offers several key advantages that make it an excellent choice for men. These advantages include:

  • The most minimally invasive BPH procedure, you leave the hospital with a bandaid covering a pinhole in your wrist
  • Can improve BPH symptoms with a lower risk of urinary leakage or sexual side effects when compared to other procedures
  • No retrograde ejaculation
  • Performed as an outpatient procedure, you can usually go home the same day
  • Does not require insertion of a urinary catheter, no uncomfortable Foley for days
  • Almost no blood loss

When is Surgery Indicated?

Patients need surgery if they are having recurrent bladder infections, renal failure, bladder stones, blood in their urine and or the medication does not work or the side effects are too much for the patient to handle.

Schedule an Appointment Today

Schedule an Appointment Today

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Dr. Rastinehad is board certified by the American Board of Urology. He has expertise in an array of interventional radiological and surgical techniques.

Dr. Art Rastinehad © 2024