Prostatic Artery Embolization (PAE) – A Complete Step by Step Guide for Patients

Prostatic Artery Embolization, or PAE, is emerging as a safe and effective non surgical treatment for BPH, offering men a solution for enlarged prostate treatment without the risks of traditional surgery. This guide will walk you through how it works, the procedure itself, recovery, and factors to consider when choosing a healthcare provider.

Understanding How Prostatic Artery Embolization (PAE) Works

PAE targets the blood supply of the prostate. In men with an enlarged prostate, also called benign prostatic hyperplasia (BPH), the prostate grows and presses against the urethra, causing symptoms like weak urine flow, frequent urination, and difficulty emptying the bladder. PAE reduces blood flow to the prostate through tiny particles injected into the arteries, causing the prostate to shrink over time.

Before the procedure, patients undergo imaging tests such as CT or MRI scans to map the arteries supplying the prostate. Blood tests and a detailed medical history help identify any conditions that could affect the procedure, such as allergies to contrast dye or clotting disorders. You may be asked to stop certain medications, especially blood thinners, for a few days before the procedure. Fasting for a few hours prior is usually required. Your healthcare provider will explain the process in detail and answer questions to ensure you are comfortable and informed.

Step by Step: What to Expect During Prostatic Artery Embolization (PAE)

PAE is performed by an interventional radiologist. The procedure usually takes one to two hours and is done under local anesthesia with mild sedation, so you remain awake but relaxed.

• Accessing the Artery: The doctor inserts a thin catheter into an artery, typically in the wrist or groin. Imaging guidance ensures precise navigation toward the arteries feeding the prostate.
• Mapping the Artery: Contrast dye is injected to visualize the prostate arteries. This step is crucial because prostate arteries vary from person to person. The radiologist carefully identifies the correct vessels to target.
• Embolization: Tiny particles are delivered through the catheter into the prostate arteries. These particles block blood flow, causing the prostate to shrink gradually. Patients may feel a warm sensation or mild discomfort during this phase.
• Completion: After confirming that blood flow has been adequately reduced, the catheter is removed. The access site is closed with a small bandage or closure device, and gentle pressure may be applied to prevent bleeding.

Patients usually remain under observation for a few hours after the procedure. Vital signs are monitored, and instructions are provided for post-procedure care.

Post-Procedure Care and Recovery

Recovery after PAE is generally quicker than surgical treatments. Most patients can resume normal activities within one to two days, although heavy exercise or strenuous activity should be avoided for a week.

Common post-procedure symptoms include mild pain in the pelvis, burning with urination, or temporary blood in urine. These symptoms usually resolve within a few days. Pain can be managed with over-the-counter medications as recommended by your doctor.

Hydration is important to help flush the bladder and minimize irritation. You should follow up with your healthcare provider to monitor recovery and track symptom improvement. Shrinking of the prostate and relief from urinary symptoms often take a few weeks to a few months after the procedure.

Seek immediate medical attention if you notice severe pain, fever, uncontrolled bleeding, or persistent urinary problems. Early reporting helps prevent complications and ensures effective recovery.

What to Look for in a Healthcare Provider

Selecting the right provider is critical for a successful outcome. Look for an interventional radiologist with extensive experience in PAE. They should be able to explain the procedure clearly, discuss risks and benefits, and show a record of successful cases.

Check if the facility is equipped with advanced imaging technology and has a dedicated team for patient support. Reviews and patient testimonials can provide insight into patient satisfaction and outcomes. Accessibility for follow-up appointments is also important, as monitoring post-procedure progress ensures better long-term results.

Why Choose Prostatic Artery Embolization (PAE)

PAE is an effective alternative to traditional surgical methods for BPH. It avoids incisions, reduces the risk of sexual or urinary complications, and allows faster recovery. Men considering BPH treatment in Hyderabad have found PAE to be a convenient and reliable option.

This procedure is particularly suitable for those seeking a non surgical treatment for BPH who wish to minimize downtime and complications. PAE has shown promising results in improving urinary symptoms, enhancing quality of life, and reducing prostate size without the need for hospitalization or general anesthesia.

Many patients explore PAE as a safe prostate reduction treatment that does not compromise urinary or sexual function. It is often recommended for men who may not be good candidates for traditional surgery due to age or other medical conditions.

Why Choose RIVEA for Prostatic Artery Embolization (PAE)

At RIVEA Vascular Institute, we specialize in providing modern, minimally invasive solutions for men struggling with enlarged prostate symptoms. Prostatic Artery Embolization (PAE) is a safe and effective non-surgical treatment for BPH, and choosing the right provider is key to achieving lasting results.

RIVEA stands out as Hyderabad’s leading center for advanced prostate care. Our team combines state-of-the-art imaging technology with proven clinical expertise to deliver precision in every procedure.

At the forefront of this excellence is Dr. Arjun Reddy, one of South India’s most respected Interventional Radiologists and a pioneer in prostate embolization. Dr. Reddy was the first to perform PAE in Hyderabad and trained extensively at world-renowned institutions such as Massachusetts General Hospital and Brigham and Women’s Hospital in Boston. His global training, coupled with years of patient-centered practice, ensures that every individual receives world-class care tailored to their unique needs.

Prostatic Artery Embolization provides a modern, minimally invasive solution for men with enlarged prostate symptoms. Understanding the procedure, following pre- and post-care instructions, and choosing an experienced healthcare provider are essential steps to ensure a successful outcome. For those exploring enlarged prostate treatment or BPH treatment in Hyderabad, PAE offers an effective alternative to traditional surgery. Discussing options with your doctor can help you make an informed decision that suits your health and lifestyle.