Living with an enlarged prostate, also known as benign prostatic hyperplasia (BPH), can lead to frustrating urinary symptoms such as frequent urination, weak stream, and nighttime awakenings. For decades, traditional surgery—most commonly transurethral resection of the prostate (TURP)—was the go-to solution.
Today, Prostate Artery Embolization (PAE) offers a breakthrough, minimally invasive alternative that can relieve symptoms without the risks and downtime of surgery.
What Is Prostate Artery Embolization (PAE)?
PAE is an outpatient procedure performed by an interventional radiologist. Using advanced imaging guidance:
- A tiny catheter is inserted through a small puncture in the wrist or groin.
- Microscopic particles are delivered into the arteries that supply the prostate.
- These particles reduce blood flow to the enlarged prostate, causing it to shrink and easing urinary symptoms.
Because it’s done through a pinhole-sized entry, no cutting or removal of tissue is required, and most patients return home the same day.
How PAE Compares to TURP Surgery
| Feature | Prostate Artery Embolization | TURP Surgery |
| Invasiveness | Minimally invasive; no cutting | Surgical removal of prostate tissue |
| Anesthesia | Local anesthesia & light sedation | General or spinal anesthesia |
| Hospital Stay | Outpatient, go home same day | 1–2 nights typical |
| Recovery Time | Resume normal activity in a few days | Several weeks of recovery |
| Sexual Side Effects | Low risk of erectile dysfunction or retrograde ejaculation | Higher risk of sexual side effects |
| Bleeding Risk | Minimal | Moderate |
Key Advantages of PAE
- No Hospitalization: Walk in and walk out the same day.
- Preserves Sexual Function: Lower risk of erectile or ejaculatory issues.
- Faster Recovery: Most men return to daily activities within a few days.
- Effective Symptom Relief: Studies show significant improvement in urinary symptoms and quality of life.
Who Is a Candidate for PAE?
You may benefit from PAE if you:
- Have moderate to severe BPH symptoms (weak stream, urgency, frequent nighttime urination).
- Are not finding relief with medication or prefer to avoid long-term drugs.
- Are not an ideal candidate for surgery due to age or medical conditions.
- Wish to avoid the side effects and recovery associated with TURP.
Comprehensive Q&A
Q: Is PAE as effective as surgery?
A: For many men, PAE provides symptom relief comparable to TURP with fewer complications and a shorter recovery time.
Q: Will I need a catheter?
A: Most patients do not require a postoperative catheter, and if used, it’s typically for a very short time.
Q: How long does the procedure take?
A: Generally 1–2 hours, followed by a short observation period before heading home.
Q: Are there risks or side effects?
A: Side effects are usually mild and may include temporary pelvic discomfort or urinary frequency, which typically resolve within days.
Q: How soon will I see results?
A: Many patients notice symptom improvement within days to weeks, with continued progress over several months.
Why Choose Minimally Invasive Specialists of Texas
At Minimally Invasive Specialists of Texas, our board-certified interventional radiologists specialize in PAE and other leading-edge vascular procedures. We combine advanced imaging technology with compassionate care to help men regain comfort and quality of life—without major surgery.
Contact Us
Minimally Invasive Specialists of Texas
4003 Woodlawn Ave
Pasadena, TX 77504
Phone: (832) 583-2246
Call today to schedule a consultation and learn if Prostate Artery Embolization is right for you.