symptoms and treatment

Prostatic Artery Embolization (PAE): A Minimally Invasive Treatment for Benign Prostatic Hyperplasia (BPH)

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Understanding Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia, commonly known as BPH, is a non-cancerous enlargement of the prostate gland that affects many men as they age. An enlarged prostate can press against the urethra, leading to urinary symptoms such as:

  • Frequent urination, especially at night (nocturia)
  • Difficulty starting urination
  • Weak or interrupted urine stream
  • Inability to completely empty the bladder



These symptoms can significantly impact quality of life. While medications and surgical options like Transurethral Resection of the Prostate (TURP) are available, not all patients find relief or are suitable candidates for surgery.

What is Prostatic Artery Embolization (PAE)?

Prostatic Artery Embolization is a minimally invasive, non-surgical procedure performed by interventional radiologists. It involves blocking the blood flow to specific areas of the prostate, causing it to shrink and relieving urinary symptoms associated with BPH.

How is PAE Performed?

  • Accessing the Arteries: A small catheter is inserted through a tiny puncture in the upper thigh or wrist.
  • Guided Navigation: Using X-ray imaging, the catheter is guided to the arteries supplying the prostate.
  • Embolization: Tiny particles are injected to block these arteries, reducing blood flow to the enlarged prostate tissue.
  • Completion: The catheter is removed, and the puncture site is bandaged. The procedure typically lasts about 1-2 hours and is performed under local anesthesia with mild sedation.

Benefits of PAE

  • Minimally Invasive: No surgical incisions are required.
  • Outpatient Procedure: Most patients return home the same day.
  • Reduced Recovery Time: Faster return to normal activities compared to traditional surgery.
  • Preservation of Sexual Function: Lower risk of sexual side effects, including retrograde ejaculation.
  • Suitable for High-Risk Patients: An option for those who may not be candidates for surgery due to other health conditions.

Who is a Candidate for PAE?

PAE is suitable for men with moderate to severe BPH symptoms who:

  • Have not found relief with medications.
  • Prefer a non-surgical treatment option.
  • May not be ideal candidates for surgery due to other medical conditions.

Why Choose California Vascular Health Specialists?

At California Vascular Health Specialists, we offer Prostatic Artery Embolization (PAE) as a cutting-edge alternative to traditional prostate surgery. This minimally invasive procedure provides effective relief from BPH symptoms without the need for incisions or general anesthesia. With a strong safety profile and fast recovery times, PAE is an excellent option for men looking for proven results with fewer risks and less downtime. Our experienced team is dedicated to delivering personalized care using the latest techniques in vascular medicine—so you can feel confident in your treatment and your outcome.

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