How Does Prostate Artery Embolisation Work for BPH?

Benign Prostatic Hyperplasia (BPH) is a condition in which the prostate gland enlarges, obstructing the flow of urine through the urethra. Symptoms of BPH are common, affecting about 1 in 4 men by age 55 and half of men by age 75. While surgery has traditionally been the primary solution, Prostate Artery Embolisation (PAE) has emerged as a highly effective, minimally invasive treatment. This blog will explain how PAE works and why it is becoming a preferred option for many men suffering from BPH.

What is Prostate Artery Embolisation (PAE)?

Prostate Artery Embolisation (PAE) is a minimally invasive procedure used to treat BPH by targeting the blood vessels feeding the prostate. This treatment works by blocking the blood supply to the enlarged prostate, causing the prostate tissue to shrink and relieving symptoms like frequent urination and bladder discomfort.

PAE is highly effective, with studies indicating a success rate of up to 90% in improving urinary symptoms for patients undergoing the procedure. Unlike traditional surgeries, such as Transurethral Resection of the Prostate (TURP), PAE is performed through a tiny incision, typically in the wrist or groin, which minimises the risks of complications and decreases recovery time significantly.

How Does the PAE Procedure Work?

The Prostate Artery Embolisation procedure is typically performed by an interventional radiologist. The steps of the procedure include:

1. Preparation: The patient is given a mild sedative and local anaesthesia to ensure comfort. The procedure is performed through a small pinhole.
2. Catheter Insertion: Using X-ray guidance, the radiologist inserts a catheter into the femoral or radial artery and directs it to the prostatic arteries.
3. Embolisation: Small particles are then injected into the prostate arteries, blocking the blood supply to the enlarged tissue, which causes it to shrink over time.
4. Recovery: After the procedure, most patients can get back home on the same day. Recovery is generally quick, with patients experiencing minimal pain or discomfort.

Advantages of PAE Over Traditional Surgery

Unlike TURP, PAE does not involve the removal of tissue or the need for spinal or general anaesthesia. The risk of complications, such as infection or bleeding, is significantly lower, and recovery time is much faster, allowing patients to resume daily activities within a few days.

Who is an Ideal Candidate for PAE?

PAE is ideal for men who are experiencing moderate to severe BPH symptoms but are not ideal candidates for surgery or those who prefer a non-surgical option. Factors to consider include:

• Age: PAE is often recommended for men over 50 who have moderate to severe symptoms.
• Severity of Symptoms: PAE is particularly effective for men whose symptoms significantly impact daily activities and quality of life.
• Health Conditions: Men with other medical conditions that may make surgery riskier, such as heart disease or diabetes, can benefit from the minimally invasive nature of PAE.

It is crucial for patients to consult with a qualified interventional radiologist to determine if PAE is the right treatment based on their specific condition.

Consult with Dr Akhil Monga for Effective BPH Treatment

Prostate Artery Embolisation (PAE) offers a minimally invasive and highly effective solution for treating Benign Prostatic Hyperplasia (BPH), providing significant symptom relief without the need for surgery. With a faster recovery time and high success rates, PAE can improve your quality of life.

If you’re experiencing symptoms of BPH, consult Dr Akhil Monga for expert evaluation and personalised care. Contact Dr Akhil Monga today to learn how PAE can help you find lasting relief. Book your consultation now!