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Non-surgical Treatment - Prostatic artery embolization(PAE)

Now a new procedure has been developed that is superior to TURP in recovery of the symptoms with no side effect. It is called Prostatic Artery Embolization or PAE. 

Prostatic Artery EmbolizationThe patients are admitted to the hospital on the day of the procedure after all basic investigations. During embolization, pain medication, anti-inflammatory drugs and antibiotic are given.

Embolization is performed under local anesthesia by unilateral approach, usually the right femoral artery. Initially, pelvic angiography is performed to evaluate the prostatic arteries. Then, a 4 or 5-F angiography catheter is introduced to reach in prostatic artery and a 3-F coaxial microcatheter advance in the ostium of the prostatic artery. For embolization, nonspherical PVA particles are used. The endpoint chosen for embolization is slow flow or near-stasis in the prostatic vessels with interruption of the arterial flow and prostatic gland opacification.
When embolization of the both prostatic arteries is finished, the catheter is removed. After 4- 6 hrs patients can start walking around in room without a urinary catheter. Same day he can resume the normal activities.

Prostatic Artery Embolization
Prostatic Artery Embolization

Picture 1: - Angiographic picture in a 74-year-old patient with urinary retention with a bladder catheter. Before and after Prostatic Artery Embolization.
Picture 2: - Pelvic MR images in a 78-year-old patient with BPH. Before PAE shows an enlarged prostate diameter of 59.2 mm and a prostate volume of 95.5 m.  After 6 months of PAE shows significant reduction in size.

Advantages of Prostatic Artery Embolization ( PAE)

  • PAE can be performed on any size of enlarged prostate.
  • It does not produce the side effects/complication that TURP does.
  • Whole procedure done through a small nick around the skin in the groin region.
  • Most men experience no pain to light pain and leave the hospital in a day after intervention.
  • No sexual dysfunction following prostatic artery embolization.
  • Quarter of patient report that sexual function improved after the procedure.
  • PAE procedure need no general anesthesia. It needs just mild sedation,
  • No blood loss or risk of blood transfusion.
  • No surgical ugly scars and makes for faster recovery.
  • It is cheaper than surgery.
  • Overall success rate is about more than 98%.

Which is best treatment option

Non-surgical Treatment - Prostatic artery embolization(PAE)