Prostate Artery Embolization (PAE) is a minimally invasive procedure that can significantly benefit older patients experiencing symptoms of Benign Prostatic Hyperplasia (BPH). BPH is a common condition in older men where the prostate gland enlarges, often leading to urinary problems. These include frequent visits to the bathroom, weak urine stream, difficulty in starting to urinate, dribbling and waking up night many times to urinate.
BPH has been treated by surgery under general anaesthesia which can lead to severe pain, bleeding and infection. Many older patients have multiple medical problems, generally weak and are on blood thinners like aspirin which make them high risk for general anaesthesia or surgery. But now BPH can be easily treated without surgery or anaesthesia by a pin hole procedure called prostate artery embolization (PAE). This is performed by an interventional radiologist.
How PAE Works
- Catheter Insertion: A thin catheter is inserted into a blood vessel, typically in the groin.
- Navigation to Prostate: The catheter is guided using X-rays to the arteries that supply blood to the prostate.
- Embolization: Tiny particles are injected into these arteries, blocking blood flow to specific areas of the prostate.
- Shrinkage: Over time, the areas deprived of blood shrink, reducing pressure on the urethra and improving urinary flow.
Benefits for Older Patients
- Minimally Invasive: PAE involves a smaller incision and carries less risk compared to traditional surgery.
- Quicker Recovery: Patients often experience a faster recovery time, allowing them to return to their daily activities sooner.
- Reduced Risk of Complications: PAE generally has a lower risk of complications compared to surgery, such as bleeding, infection, or sexual dysfunction.
- Improved Quality of Life: By relieving urinary symptoms, PAE can significantly improve the quality of life for older patients with BPH.
Please consult with an experienced interventional radiologist to know more about this treatment option.
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