Overview

Prostatic Artery Embolization (PAE) is an advanced, image-guided procedure used to treat symptoms of Benign Prostatic Hyperplasia (BPH).

Rather than removing prostate tissue surgically, PAE works by reducing blood flow to the prostate, causing it to shrink naturally over time.

The result: relief from urinary symptoms with less risk, less downtime, and no major surgery.

How PAE Works

Using advanced imaging guidance:

1. A small catheter is inserted through a small access site, typically in the wrist or groin
2. The catheter is guided to the arteries supplying the prostate
3. Microscopic particles are delivered to block blood flow
4. The prostate gradually shrinks, relieving pressure on the urethra

The procedure is precise, targeted, and performed without open surgery.

Benefits of PAE

Compared to traditional surgical treatments, PAE offers:

• Minimally invasive, no large incisions
• Lower risk of complications
• No need for a urinary catheter
• Reduced likelihood of sexual side effects
• Outpatient procedure (same-day discharge)
• Faster return to normal activity

For many patients, PAE provides meaningful symptom improvement with a significantly easier recovery.

What to Expect

Before the procedure:

• Imaging and evaluation to confirm candidacy
• Coordination with referring physician
• Pre-procedure instructions

During the procedure:

• Typically performed under local anesthesia with sedation when appropriate
• Lasts approximately 1–2 hours
• Minimal discomfort

After the procedure:

• Same-day discharge in most cases
• Mild symptoms (e.g., pelvic discomfort, urinary frequency) may occur temporarily
• Gradual improvement over weeks as the prostate shrinks

Recovery Timeline

• Return to light activity within a few days
• Continued symptom improvement over several weeks
• Follow-up to monitor outcomes and progress

Who is a Good Candidate

PAE may be appropriate for patients who:

• Have moderate to severe BPH symptoms
• Have not responded well to medication
• Want to avoid surgery
• Are not ideal surgical candidates due to age or other conditions

A consultation and imaging review are required to confirm eligibility.

Clinical Considerations

PAE is performed by interventional radiologists with specialized training in image-guided procedures.

Not all patients are candidates, and outcomes depend on individual anatomy and disease characteristics. ELMNT IR works closely with referring providers to ensure appropriate patient selection and coordinated care.

How PAE Compares to Surgery

Traditional procedures like TURP involve removal of prostate tissue and require anesthesia, hospital resources, and longer recovery.

PAE offers a different approach: