Prostate Artery Embolization

Prostate Artery Embolization (PAE)

For the Treatment of Lower Urinary Tract Symptoms

from Benign Prostatic Hyperplasia

Prostate Artery Embolization (PAE) is performed by Dr. J. Dana Dunleavy in the Windsong Interventional and Vascular Suite for Benign Prostatic Hyperplasia (BPH). This procedure is a minimally invasive treatment performed as an outpatient with zero hospital days and results include rapid symptomatic improvement, reduced recovery, and diminished risk of side effects, including erectile dysfunction.

What is PAE

PAE is a minimally invasive procedure performed for men with an enlarged prostate gland or benign prostatic hyperplasia (BPH). More than half of all men in their 60s and as many as 90% of men aged 70-89 years have symptoms of BPH. Symptoms include:

  • Urinary frequency
  • Dribbling at the end of urinating
  • Inability to urinate
  • Incomplete emptying of bladder
  • Incontinence
  • Difficulty starting urination
  • Straining to urinate or weak urine stream

These symptoms are not only disruptive to a man’s life, but also may be interrupting the spouse’s sleep. Many men avoid treatment because they do not want to undergo surgery, especially with the risk of sexual side effect.

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The PAE Procedure

The PAE procedure begins with a tiny incision in your upper thigh or wrist after a mild sedation medication is administered. The interventional radiologist uses this incision to insert a catheter into your arteries and guide it near your prostate. Embosphere® Microspheres, tiny round particles each about the size of a grain of sand, are injected through the catheter and into the blood vessels that feed your prostate, reducing its blood supply. By reducing the blood flow to the prostate with PAE, the prostate rapidly shrinks and allows for improvement urination without the surgical ricks.

“© Merit Medical, Used With Permission.”

After PAE

Patient’s and spouses report excellent quality of life improvements and high satisfaction after PAE. In most cases relief begins to occur within days as the prostate shrinks, relieving pressure on the urethra and improving symptoms. To learn more or take a survey to see if you are a candidate, visit https://www.ask4pae.com/ or https://www.ask4pae.com/key-advantages/ or windsonginterventional.com/

PAE Benefits

  • Shorter hospital stay and recovery time
  • Low risk of sexual side effects
  • Low risk of urinary incontinence
  • Shorter urinary catheterization time (may be avoided completely)
  • Decreased discomfort

Expertise Critical for Successful Treatment

In order to avoid possible risks, it is important for men to understand that PAE is a challenging procedure that should only be performed by experienced and properly trained interventional radiologists possessing a strong understanding of pelvic vascular anatomy. Dr. Dunleavy is a highly skilled interventional radiologist trained in the PAE procedure. He works collaboratively with the Primary Care Provider and Urologist to offer PAE when it provides the greatest benefit. PAE is not always the right choice and medical management and surgery may also be considered.

Are you a Candidate

Prostatic artery embolization (PAE) is a proven minimally invasive procedure for men who are not satisfied with their current medications or treatment. Many are choosing PAE because they prefer not to undergo or are not a good candidate for surgery.

A visit to our interventional team can determine if you are a candidate for PAE. You may be asked how often you have urinary symptoms of BPH, the severity of the symptoms and how much they are affecting your quality of life. To learn more, visit Ask4PAW.com.

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