Prostate Artery Embolization (PAE) is a minimally invasive, outpatient procedure used to treat benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate. If you're exploring alternatives to surgery or looking for long-term relief from urinary symptoms, PAE may be the right solution.
Unlike traditional surgical approaches, the PAE procedure works by blocking the blood supply to the prostate, which causes the gland to shrink and symptoms to improve over time. For many men, prostate artery embolization offers a less invasive path to relief with fewer side effects and faster recovery.
What Is the Prostate Artery Embolization Procedure?
The prostate artery embolization procedure is performed by an interventional radiologist and typically takes 1 to 2 hours. A small catheter is inserted into the groin or wrist, and tiny particles are injected to block the arteries supplying blood to the prostate.
This reduction in blood flow causes the prostate to shrink gradually, relieving pressure on the urethra and improving urinary symptoms.
What is PAE Used For?
PAE is primarily used to treat BPH and is a non-surgical alternative to more invasive procedures like TURP (Transurethral Resection of the Prostate). It is especially helpful for patients who:
Want to avoid traditional surgery
Are not candidates for anesthesia
Have large prostates
Prefer a quicker recovery
PAE vs. TURP: How Does It Compare?
While TURP has been the most commonly performed treatment for BPH over the past several decades, many patients now opt for PAE due to its minimally invasive nature and lower risk of complications.
PAE benefits include:
No general anesthesia required
Outpatient procedure
Lower risk of sexual side effects
Shorter recovery time
PAE is a particularly good option for men who want to avoid the risk of incontinence or sexual dysfunction sometimes associated with TURP.
Prostate Artery Embolization Side Effects
Like all procedures, prostate artery embolization has potential side effects. However, the risk profile is generally lower than with surgical options.
Common side effects include:
Mild pelvic pain or cramping
Fatigue for a few days after the procedure
Frequent or urgent urination during the healing process
Possible blood in the urine or semen (temporary)
Severe complications are rare, but they can include infection, non-target embolization, or damage to surrounding tissue. At Advanced Urology, our experienced specialists take every precaution to minimize these risks and monitor your progress closely after treatment.
Prostate Artery Embolization Recovery Time
Most patients recover quickly from the PAE procedure. In fact, many return to work and normal activities within a few days.
Recovery time varies, but here's a general timeline:
First 24-48 hours: Some discomfort or fatigue is common
First week: Most urinary symptoms begin to improve
Weeks 2-6: Prostate continues to shrink, with significant symptom relief
Months 3-6: Maximum results are typically observed
While PAE recovery time is much shorter than traditional surgery, staying well-hydrated and following post-procedure instructions is key to a smooth healing process.
How Long Does Prostate Artery Embolization Last?
Long-Term Results of PAE
Studies show that most men experience sustained relief from urinary symptoms for at least 3 to 5 years following the procedure. For some, the benefits can last even longer.
If symptoms return, prostate artery embolization can be repeated, making it a flexible, long-term solution for BPH management.
Who Is Not a Candidate for Prostate Artery Embolization?
While PAE is effective for many, it is not right for everyone.
Who Should Avoid PAE?
You may not be a candidate for prostate artery embolization if:
You have advanced prostate cancer
Your prostate arteries are not accessible due to anatomy
You have an active urinary tract infection
You are allergic to contrast dye used in the procedure
Our team at Advanced Urology performs a detailed evaluation, including imaging and medical history, to determine if PAE is the best option for your needs.
How Successful Is Prostate Artery Embolization?
Success rates for PAE are consistently high, with studies showing improvement in urinary symptoms in over 80-90% of patients.
What Makes PAE So Effective?
The PAE procedure directly targets the blood flow fueling prostate growth, reducing its size without cutting or removing tissue. As a result, the risk of sexual dysfunction is lower than with traditional surgeries.
Patients report improvements in:
Urinary urgency and frequency
Nighttime urination
Weak stream and straining
Overall quality of life
How Long Does It Take for Prostate Artery Embolization to Work?
Results from PAE aren't instant, but they are worth the wait.
Timeline for PAE Results
Week 1: Minor improvements in flow and urgency
Weeks 2-4: Significant reduction in symptoms for most patients
By 3 months: Peak improvement for the majority of men
Every patient's experience differs slightly, but most report a steady and noticeable change within the first few weeks.
When Is a Repeat PAE Needed?
Some patients may see a gradual return of symptoms after several years. In those cases, repeating the procedure can restore relief without requiring more invasive surgery.
At Advanced Urology, we monitor your condition through follow-up visits and help you decide the best course of action if symptoms return.
Summary
Benign prostatic hyperplasia affects millions of men, especially as they age. Untreated BPH can lead to urinary retention, bladder infections, and kidney damage.
PAE offers an alternative for men who:
Want to avoid surgery
Need relief from persistent urinary symptoms
Value a faster recovery time
Are concerned about sexual side effects
With the advanced technology and expertise at Advanced Urology, prostate artery embolization for BPH is now more accessible and effective than ever.
Explore Your Options at Advanced Urology
Prostate Artery Embolization is changing the way men manage BPH. It's safe, minimally invasive, and delivers long-lasting relief without the risks of surgery. If you've been searching for a less invasive way to treat an enlarged prostate, PAE may be your best option.
We understand that every patient's needs are different. That's why our team of urologists and interventional radiologists work together to create personalized treatment plans. Whether you're ready to move forward or just starting your research, we're here to help.
Take the Next Step
At Advanced Urology, your comfort and care come first. Schedule a consultation today to find out if the PAE procedure is right for you. Book online now or contact us to learn more about your options for BPH treatment.
