Success Rate of Prostate Artery Embolization

Prostate artery embolization (PAE) has emerged as a promising treatment option for men suffering from an enlarged prostate, or benign prostatic hyperplasia (BPH). But how successful is this minimally invasive procedure? In this blog post, we'll dive into the success rate, benefits, and potential complications of PAE while citing recent studies and expert opinions.

What is Prostate Artery Embolization (PAE)?

PAE is a minimally invasive procedure that targets the blood vessels feeding the prostate, effectively reducing its size and alleviating lower urinary tract symptoms (LUTS) associated with BPH [2]. PAE is primarily indicated for patients with BPH who are experiencing moderate to severe LUTS, including urinary frequency, urgency, nocturia, and weak urine stream. The procedure is particularly useful for those who are not candidates for traditional surgical methods due to medical comorbidities or for patients who prefer a less invasive approach [2]. Compared to traditional surgical methods like transurethral resection of the prostate (TURP), PAE offers a lower risk of complications, shorter recovery times, and preservation of sexual function [1].

The Success Rate of Prostate Artery Embolization

Medium and Long-term Outcomes

A study found that PAE led to significant improvements in BPH, LUTS and quality of life in 630 patients, with 81.9% of them experiencing clinical success within one to three years after the procedure [3].

PAE Benefits and Risks

PAE has several benefits, including reduced risk of infection, less blood loss, and preservation of sexual function. However, it also carries risks such as temporary post-procedure pain, hematuria, and a small risk of infection [2, 5].

Factors Affecting the Success of PAE

The success of PAE can be influenced by factors such as patient selection, the size of the prostate, and the expertise of the interventional radiologist performing the procedure [2, 4].

PAE Procedure, Recovery, and Potential Complications

How does the PAE Procedure Works?

The PAE procedure involves inserting a catheter into the femoral artery and guiding it to the prostate arteries. Tiny particles are then injected to block blood flow to the prostate, causing it to shrink [1].

Recovery Process and Timeline

Patients typically experience rapid improvement in symptoms after PAE and can return to normal activities within a few days to a week [5].

Side Effects and Complications

Though PAE is generally safe, it can cause side effects such as temporary urinary retention, post-embolization syndrome (characterized by pain, fever, and nausea), and rarely, infection or non-target embolization [2, 4].

Ready to Take the Next Step?

Prostate artery embolization has demonstrated success in treating BPH, offering a minimally invasive alternative to traditional surgical methods. With a high success rate and lower risk of complications, PAE is an attractive option for men seeking relief from an enlarged prostate.

At Indiana Vascular, we offer a facility filled with state-of-the-art equipment and a staff of experienced doctors that specialize in PAE. We will work with you in creating a treatment plan tailored to your individualized needs, and will walk with you every step of the way to ensure a favorable outcome and swift recovery. Do not allow BPH or enlarged prostates to negatively impact your quality of life. Schedule an appointment with us today to receive a consultation and gain insight into the condition, as well as discover how we can enhance your overall health.

Sources

1. Johns Hopkins Medicine. (n.d.). Prostatic artery embolization. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/prostatic-artery-embolization

2. Naidu, S. G., Narayanan, H., Saini, G., Segaran, N., Alzubaidi, S. J., Patel, I. J., & Oklu, R. (2021). Prostate Artery Embolization-Review of Indications, Patient Selection, Techniques and Results. Journal of clinical medicine, 10(21), 5139. https://doi.org/10.3390/jcm10215139

3. Pisco, J. M., Bilhim, T., Pinheiro, L. C., Fernandes, L., Pereira, J., Costa, N. V., Duarte, M., & Oliveira, A. G. (2016). Medium- and Long-Term Outcome of Prostate Artery Embolization for Patients with Benign Prostatic Hyperplasia: Results in 630 Patients. Journal of vascular and interventional radiology : JVIR, 27(8), 1115–1122. https://doi.org/10.1016/j.jvir.2016.04.001

4. Somwaru, A.S., Metting, S., Flisnik, L.M. et al. (2020). Prostate artery embolization has long term efficacy for treatment of severe lower urinary tract symptoms from giant prostatic hyperplasia. BMC Urol 20, 153. https://doi.org/10.1186/s12894-020-00726-y

5. Yale Medicine. (n.d.). Prostate artery embolization. https://www.yalemedicine.org/conditions/prostate-artery-embolization