Benign Prostatic Hypertrophy (BPH), also known as enlarged prostate
Am I a Candidate for PAE treatment?
BPH usually begins in men after age 40. In fact, 50% of men over 50 are affected to some degree. While there is no certain cause to BPH, some risk factors include diabetes, obesity, and lack of exercise. In some cases, family history can also be a factor. If you are experiencing frequent urination (including multiple times during the night that interfere with good sleep hygiene), weak stream or inability to urinate, difficulty beginning urination, loss of bladder control and/or hematuria (blood in urine), you are a likely candidate for PAE Treatment.
How Does PAE Work?
PAE is a minimally-invasive image-guided (ultrasound and x-ray fluoroscopy) procedure provided by Vascular and Interventional Radiologists on an outpatient basis. The procedure is performed through the radial artery (wrist) or the femoral artery (tiny incision in the groin) under sedation. General anesthesia is typically not necessary. The procedure lasts around 1.5-2 hours and the patient is discharged from the hospital the same day to recover at home.
PAE takes advantage of the fact that the prostate gland has a rich blood supply. By advancing a tiny (1 mm or less) catheter through the arteries into the prostatic arteries, the blood flow to the prostate can be reduced by injecting small particles that lodge in the prostate. By reducing the blood flow to the prostate (embolization), the prostate responds by shrinking. This allows the urethra to return to a normal diameter, thereby increasing the urine flow rate, the force of the stream, and more complete bladder emptying.
PAE procedures at Interventional Radiology of Colorado are performed by Peder Horner, M.D.
After the Procedure
One of our Interventional Radiologists will interpret your results and advise you whether the procedure was a success. During a follow-up visit, your physician may discuss any additional treatment you may need or if you experience any side effects of the procedure.