Learn About PAE

Prostate Artery Embolization

Prostate Artery Embolization is a minimally invasive technique that has been performed over a decade. Schedule an appointment at Blue Rock Medical to learn more about PAE.

How does the procedure work?

The procedure involves insertion of a small catheter tube into the groin artery by needle puncture which is guided into the arteries of the prostate. Small beads are infused into the prostate artery which slows the blood flow and shrinks the gland.

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How effective is PAE?

Symptoms improved by an average of 67-75%, similar to surgery without any erectile dysfunction or incontinence1.

More than 20 studies including over 2,000 patients with moderate to severe LUTS due to BPH show that PAE has shorter recovery and fewer complications than traditional surgery and improves symptoms and quality of life to a greater degree than medical therapy. This has been shown to have a durable effect at 10 years2.

1 BMJ 2018; 361:k2338 | 2 Radiology 2020; 296:444-451

What are the Advantages of PAE?

  • No sexual side effects such as erectile dysfunction or retrograde ejaculation
  • No risk of incontinence
  • Minimally invasive outpatient procedure
  • Low complication rate
  • No risk of general anesthesia

Who is the ideal candidate for PAE?

  • Patients with moderate to severe lower urinary tract symptoms desiring a less invasive approach than standard surgical techniques such as transurethral resection of the prostate(TURP)
  • Patients who have failed medical therapies and are not a good surgical candidate
  • Patients who have failed TURP or other urologic procedures such as Urolift or Rezum¬†
  • Patients with very large prostate glands, greater than 40 grams
  • Patients with a higher than normal risk of bleeding

What are risks associated with PAE?

  • Slight risk of bleeding, infection, damage to the arteries from catheterization
  • Risk of embolic beads entering undesired arteries and decreased blood flow to other organs
  • Small post-procedural risks of transient blood in the urine or rectal bleeding, temporary acute urinary retention

Is PAE covered by insurance?

PAE is currently covered by Medicare and most insurance plans