Prostate artery embolization (PAE) is a treatment for BPH and a relatively new application of a long standing technology. Embolization has been performed successfully for several decades. This is a minimally invasive technique that relieves symptoms and has achieved good preliminary results.
The objective of PAE is to partially stem the blood flow supplying the prostate. PAE resolves the problem rapidly, is long lasting, and preserves the prostate. Without blood flow the abnormally enlarged prostatic tissue atrophies and symptoms improve or disappear.
Your interventional radiologist will work with your urologist to determine if you are a candidate for PAE. Your doctor will talk to you about your medical history and perform diagnostic testing, which may include a CT, an MRI, or an ultrasound of the prostate. You will also be asked to fill out Symptomatology, Quality-of-Life and Sexual Function surveys.
If embolization is indicated, you will need a CT angiography to evaluate the pelvic vessels and determine whether or not you are a candidate for PAE treatment.
Generally, the procedure takes between 1 and 2 hours. Once the embolization is completed the catheter is removed, manual compression is performed for about 10 minutes, and a small compression dressing is applied.
In Portuguese study of 1,000 men, the reported cumulative success rate within 6 months of the procedure was 89%, which declined to 82% for the 807 patients in the 1-3 year follow-up subcohort. Patients in the “long term” post-three year category had a 78% cumulative success rate.
PAE offers many benefits compared to surgical procedures:
Both transurethral resection of the prostate (TURP) and open prostatectomy are invasive surgeries that can result in higher rates of retrograde ejaculation (ejaculation into the bladder rather than out through the urethra), impotence, and urinary incontinence. There have been few reports of these side effects caused by PAE.
The greatest risk comes from non-targeted embolization, the injection of particles into arteries not supplying the prostate, potentially causing severe complications. 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.
Patients may experience ‘post-PAE syndrome’ for days following the procedure, which can include nausea, vomiting, fever, pelvic pain, or painful or frequent urination.
Uncommon complications (10%) include blood in the urine and urinary tract infection, which is easily avoided by the prophylactic use of antibiotics prior the procedure. Very rare (2%) complications include blood in the sperm or feces.
Whether or not you are a candidate for PAE will depend on your diagnosis and a consultation with your interventional radiologist. If you suffer from BPH and are looking for treatment that can offer a safe, effective solution, prostate artery embolization may be the answer for you. Call IVC today at 503-612-0498 to schedule an appointment for a consultation.
This is for Dr. Pfister. I just wanted to thank him for all the time he spent with us the other week. In all the years I’ve had my vascular problems I’ve never had a doctor really sit down and explain to me the intricacies of what might be going on. I have a lot to think about…but just wanted to say thanks for being so nice and answering our many questions!L.H.
A fantastic group of wonderful people. The procedure was very smooth. When they were putting the port in I felt like I was getting a great massage!! Thank you all!S.C.
Charley was instrumental in getting me scheduled in quickly to get my PICC line removed. She actually worked until late in the day to get the information from my referring doctor’s office. It is nice to know great people like Charley still exist in this world!K.S.
I had my blood clot filter removed on 2/21/18. I was very apprehensive, yet EVERYONE in Dr. Pfister’s office and surgical team helped to make me comfortable. I am extremely claustrophobic so laying down or having something covering my face creates anxiety. Mary Anne listened to my concerns and made sure I was made comfortable and did not feel anxious. The surgical team was amazing, they explained everything thoroughly. Dr. Pfister came in after the procedure to review what he did and discuss any follow up that might be required. I so appreciate the time and attention he gives me as his patient. This was a positive experience.G.H.
110% Thank You! Best unit so far in my cancer treatment. Thanks Dr. LoveAnonymous
If you ever need an Interventional Radiologist for a child I realize it is serious business. I’ve seen Dr. Love go and save a child’s kidney without missing a beat. I could recommend no one better for myself, or for people I love. I think he is a little cool at the bedside, but that’s OK Dr. Love, stay frosty! If you can’t see Dr. Love, one of the other professionals at IVC will be able to help you. Ashley, the dynamite scheduler and one of the other surgeons at IVC will care for you. I’ve had multiple surgeries with this practice over the past several years. Never a hiccup!S. R. – Portland, OR
Great experience, doctor was thorough in explaining what was going to happen. The nurses were very attentive and made sure I was comfortable and my needs were met. I would recommend this office for any related procedure.Anonymous
Everything went very smoothly. Joe enjoyed the music. Very friendly staff! Good Experience!J. & E.
All staff was courteous and efficient. Good experience.J. J.
Dr. Pfister, thanks so much for your excellent care, removing my chemo port earlier this week. With all your experience and your fine touch, I’m confident the scar will be nearly invisible. Your team, from beginning to end, did a super job with me. Please extend my gratitude to Jennifer, Mary Anne, Todd and Charley. I’ve got a whole lot of living left to do. I appreciate all of you helping me do it!M. F.
Dr. Pfister, thank you for all of the attention you gave to me. I learned lots from our discussion – hearing you speak of ultimate healing was enough to encourage me to do all I can to strengthen those muscles.S. O.
The entire office is one of the most professional, helpful and informative medical offices I have dealt with (and I have dealt with many). Kudos to Jennifer, Henry, and Charley!K. C.
Great people. Great place. Good surgery.G. G.
Patty, Mary Anne and the whole staff was amazing! Best experience I’ve had since being diagnosed with cancer. From start to finish, was great. Thanks.M
My brother came into Legacy Meridian Park, had a stroke. Dr. Bauer came in immediately, in his work jeans and shirt. He worked with Neurologist Dr. Burbank, developed a plan and took my brother into a procedure where they removed the clot from his head! Very down to earth doctor, explained procedure to family, worked with sense of urgency.J. P.
I want to comment regarding Dr. Bauer of how he was thorough explaining my CT Biopsy and showing me how on the computer he would get the tissue needed. In all the years of several surgeries I have never felt better going in to have a procedure done. His bedside manner was incredible. I wish all doctors were like Dr. Bauer. Thank you for preparing and relaxing me prior to the biopsy.R.S. Molalla OR
Everyone did a superb job taking care of me and doing the procedure. Thank You AllK.S.
Dr. Bauer genuinely cares about his patients and strives to make sure they understand every aspect of their treatment.A. L.
Dr. Bauer, our family wants you to know how thankful we are to you for saving G.P.’s life and bringing him back to us in normal health. Thank you over and over you are the best!Family of G. P.