Prostate Artery Embolization (PAE) by Dr. Manish Rajput
Enlarged prostate (BPH) affects a large percentage of men over the age of 65. We offer an innovative, outpatient procedure to treat this condition by our world-class physicians.
What Is The Prostate?
The prostate is an accessory organ of the male reproductive system. Its function is to produce fluid that helps preserve sperm after ejaculation. It is located below the bladder and is normally the size of a walnut. Urine travels from the bladder through the urethra before passing through the penis. Because the prostate surrounds the urethra, urination can be affected when the prostate is enlarged.
What Is Benign Prostate Hyperplasia (BPH)?
Benign Prostate Hyperplasia (BPH) is the most common disease of the prostate and can cause debilitating symptoms, impacting a patient’s quality of life. It affects 70% of men over 65 years of age, 80% of those aged between 70 and 80, and 90% of men over 80. BPH is a benign, non-cancerous, increase of prostate tissue growth, causing obstruction of the lower urinary tract. Some patients do not have any symptoms of BPH.
Common Symptoms Of BPH:
Increased urinary frequency, particularly at night
Weak and/or interrupted urine stream
Incomplete emptying of bladder/difficulty starting
Urgency/difficulty controlling urine
Inability to urinate leading to catheterization
Blood in the urine
Erectile dysfunction (may overlap). There are other syndromes or diseases that can produce similar symptoms, so it is important to undergo a full examination to ensure symptoms are related to BPH.
Weak and/or interrupted urine stream
Incomplete emptying of bladder/difficulty starting
Urgency/difficulty controlling urine
Inability to urinate leading to catheterization
Blood in the urine
Erectile dysfunction (may overlap). There are other syndromes or diseases that can produce similar symptoms, so it is important to undergo a full examination to ensure symptoms are related to BPH.
How Is BPH Diagnosed?
1. Medical history
2. Detailed physical examination (including digital rectal exam)
3. Rectal ultrasound of the prostate (TRUS)
4. Prostate MRI & PSA Level
5. TRUS Guided 12 Core Prostate Biopsy
2. Detailed physical examination (including digital rectal exam)
3. Rectal ultrasound of the prostate (TRUS)
4. Prostate MRI & PSA Level
5. TRUS Guided 12 Core Prostate Biopsy
Normal Vs Enlarged prostate
Possible Treatments:
Mild: “watchful waiting”, follow-up
Moderate/Severe: Medications, Surgery (TURP, Prostatectomy, Laser, Thermotherapy, Electrovaporization) or Prostatic Arterial Embolization (PAE)
What is Prostate Artery Embolization?
A procedure in which a microcatheter is placed from the femoral artery (top of the leg) to the arteries of the prostate
Small spheres are inserted into the prostate artery through the microcatheter to block it
The abnormal tissue (BPH) will shrink, soften and reabsorb over time.
What are the benefits of Prostate Artery Embolization?
- It’s minimally invasive.
- There is a lower risk of urinary incontinence moving forward.
- Results can be experienced within a few days.
- There aren’t any sexual side effects.
- There isn’t any need for a bladder catheter.
- Procedure involves less pain and discomfort both during and afterwards.
Who is a good candidate for Prostate Artery Embolization?
Good candidates who come to see Dr. Manish Rajput for this procedure have these characteristics. They are men who:
- Suffer typical symptoms related to having an enlarged prostate.
- Have tried drug therapy without improving their symptoms.
- Have a prostate over 40 grams in size.
- Cannot have general anesthesia.
These diagnostic tests could confirm a patient’s viability for this procedure:
- PSA levels
- Prostate ultrasound
- A urodynamic pressure study
- A cystoscopy that examines the lining of the urethra and bladder
- Uroflowmetry to evaluate urine flow