Prostate Artery Embolization (PAE)

Prostate Artery Embolization (PAE) is a breakthrough minimally invasive procedure that treats enlarged prostate symptoms without surgery. Using advanced imaging guidance, tiny particles are delivered through a small catheter to block blood flow to enlarged areas of the prostate, causing it to shrink naturally over time.

How PAE Works

1. Minimally Invasive Access: A small puncture is made in the groin or wrist, similar to a cardiac catheterization
2. Precise Navigation: Using real-time X-ray imaging, a thin catheter is guided to the prostate arteries
3. Targeted Treatment: Microscopic particles are delivered to block blood flow to enlarged prostate tissue
4. Natural Shrinkage: The prostate gradually reduces in size over the following weeks and months
5. Symptom Relief: Patients experience improved urinary flow and reduced BPH symptoms

PAE procedure showing catheter placement and targeted embolization of prostate arteries

Proven Effectiveness

PAE has been extensively studied in clinical trials and real-world practice, demonstrating consistent and durable results for men with BPH symptoms.

Success Metrics

• 93% of patients experience significant symptom improvement
• Average 40% reduction in prostate size within 6 months
• 85% improvement in quality of life scores
• Low retreatment rate - most patients achieve lasting results
• High patient satisfaction - over 90% would recommend PAE

Symptom Improvement Timeline

• 1-2 weeks: Initial symptom relief begins
• 1-3 months: Significant improvement in urinary flow
• 3-6 months: Maximum benefit typically achieved
• Long-term: Sustained improvement for years

Before the Procedure

• Pre-procedure consultation with Dr. Sabbah
• Medical clearance and lab work if needed
• Medication review - some may need to be stopped temporarily
• Fasting instructions - typically 6 hours before procedure
• Arrange transportation - cannot drive after sedation

During the Procedure

• Duration: Typically 1-3 hours
• Anesthesia: Conscious sedation for comfort
• Access: Small puncture in groin or wrist
• Imaging: Real-time X-ray guidance throughout
• Embolization: Precise delivery of particles to prostate arteries
• Monitoring: Continuous vital sign monitoring

After the Procedure

• Recovery time: 2-4 hours observation
• Same-day discharge in most cases
• Minimal discomfort - over-the-counter pain relief usually sufficient
• Activity restrictions: Light activities for 24-48 hours
• Follow-up: Scheduled appointments to monitor progress

Recovery Timeline

• Day 1-2: Rest and light activities
• Day 3-7: Gradual return to normal activities
• Week 2: Most patients back to full activities
• Month 1: First follow-up appointment
• Month 3-6: Maximum benefit typically achieved

Safety Profile

PAE has an excellent safety profile with significantly lower complication rates compared to traditional prostate surgery. Most side effects are mild and temporary.

Common Side Effects (Usually Temporary)

• Mild pelvic discomfort for 1-3 days
• Urinary frequency may temporarily increase
• Minor bruising at catheter insertion site
• Fatigue for 24-48 hours after procedure
• Low-grade fever (less than 101°F) for 1-2 days

Rare Complications (Less than 5%)

• Urinary tract infection - treated with antibiotics
• Temporary urinary retention - may require short-term catheter
• Access site complications - bleeding or hematoma
• Contrast reaction - allergic reaction to X-ray dye

Serious Complications (Very Rare, <1%)

• Non-target embolization - particles affecting other organs
• Severe infection requiring hospitalization
• Bladder injury (extremely rare)