Are you a man experiencing frustrating urinary problems? Perhaps you’re getting up several times a night to go, or maybe you’re dealing with that constant feeling of urgency. These issues can really disrupt your life, and leave you searching for answers. You might be hearing about prostate artery embolization, and wondering what it entails.
At NAU we understand the confusion and the need for clear information. The good news is that there are options beyond medication and traditional surgery. Our goal here is to provide information about prostate artery embolization so you are prepared and know what to expect from this treatment option.
What is Prostate Artery Embolization (PAE)?
Prostate artery embolization (PAE) is a minimally invasive procedure. It is designed to shrink an enlarged prostate and improve urinary symptoms. Benign prostatic hyperplasia (BPH) is when the prostate gland gets bigger and presses on your urethra, which can lead to a variety of uncomfortable urinary problems, affecting your urinary tract.
How Does Prostate Artery Embolization Work?
PAE works by cutting off the blood supply to the prostate gland. An interventional radiologist performs the procedure by inserting a small catheter into an artery in your groin or wrist. They then guide the small catheter to the prostatic artery, which supply blood to the prostate.
Once the catheter is in place, tiny particles, also called emboli, are injected. These particles block the blood flow to the prostate. By blocking the blood flow, it causes the prostate to shrink, and this reduced size takes the pressure off the urethra, letting you pee easier.
The Benefits of PAE
Many men are drawn to prostate artery embolization because of its potential benefits, which include being a treatment option to improve urinary tract symptoms.
- It is a minimally invasive procedure, avoiding open surgery.
- It’s often an outpatient procedure, letting you go home the same day.
- You get effective relief from urinary symptoms.
- The risks include fewer problems compared to surgery.
- It can be more affordable than other choices.
What to Expect During the PAE Procedure
It’s normal to feel a little anxious about any medical procedure. Knowing what to expect can help put your mind at ease, so patient education is very important.
PAE typically takes between one and two hours. Most patients are able to go home the same day. You can usually get back to your normal life within a few days. For more information, you can see what to expect after your prostate artery embolization (PAE).
Are You a Candidate for Prostate Artery Embolization?
Prostate artery embolization is not for everyone. Here are some general things to think about when considering whether you might be a good fit, so discuss this treatment option with your primary care physician.
- Do you have BPH that’s causing big problems with urination?
- Are you not able to have surgery?
- Have you tried other BPH treatments, like medication, without enough relief?
It is important to have realistic expectations and to fully discuss any symptoms with healthcare professionals. Patients who do not wish to endure invasive surgeries may find PAE a viable treatment option. Many men suffer managing their BPH with medications.
To determine if you are a good candidate, you’ll likely need a urine test, a rectal exam, and a review of your medical records.
Understanding the Risks and Side Effects of Prostate Artery Embolization
Like any medical procedure, it’s vital to know about the possible risks included and side effects with any treatment option.
- You might have pain or feel uncomfortable where they put the needle in at the puncture site.
- You may feel like you need to pee often or right away with frequent urination.
- There might be blood in your pee.
- There is a chance of getting an infection.
Fortunately, these side effects are often mild and temporary. However, discussing them with your doctor is important before moving forward, and be sure to ask about potential adverse events.
Prostate Artery Embolization vs. Other Treatments
Many options exist for treating BPH. The right choice depends on your specific situation. Here are some other options to consider, and be sure to get proper patient education on all of them.
Medications
Medicines like alpha-blockers and 5-alpha reductase inhibitors are common starting points. Alpha-blockers relax the muscles in the prostate and bladder neck, making it easier to urinate. 5-alpha reductase inhibitors shrink the prostate by blocking the hormone that causes it to grow.
Transurethral Resection of the Prostate (TURP)
TURP involves cutting away prostate tissue to open up the urethra. While effective, it can have a higher risk of side effects. Some of these risks include bleeding, retrograde ejaculation, and erectile dysfunction.
Other Minimally Invasive Procedures
Several newer, less invasive procedures are also available. These include water vapor thermal therapy (Rezum), the UroLift system, and transurethral microwave therapy. Each has its own pros and cons.
Considerations Before Choosing Prostate Artery Embolization
Before you decide, there are some important things to consider to determine if PAE is the right treatment option for your benign prostatic hyperplasia.
- Talk to your urologist about your specific symptoms and health history.
- Have a full examination to determine if PAE is the correct choice.
- Consider the possible risks, benefits, and side effects.
- Discuss the experience and training of the interventional radiologist who will perform the procedure.
Conclusion
Prostate artery embolization has emerged as a noteworthy option in the management of BPH. It offers a less invasive route to easing urinary symptoms and enhancing quality of life. If BPH is impacting your life, it’s time to have a conversation with your urologist. Our team at NAU Urology Specialists are here to help guide you. Together, we can determine if prostate artery embolization is right for you and improve urinary tract issues. Contact us for an appointment to learn more.