{"id":16264,"date":"2019-09-02T09:30:05","date_gmt":"2019-09-02T09:30:05","guid":{"rendered":"https:\/\/www.bensnaturalhealth.com\/blog\/?p=16264"},"modified":"2026-05-30T08:15:12","modified_gmt":"2026-05-30T08:15:12","slug":"prostate-artery-embolization","status":"publish","type":"post","link":"https:\/\/www.bensnaturalhealth.com\/blog\/prostate-health\/prostate-artery-embolization\/","title":{"rendered":"What Is Prostate Artery Embolization?"},"content":{"rendered":"Recently, Prostate Artery Embolization (PAE) has been introduced worldwide as a procedure that can help resolve symptoms of <a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/bph\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Benign Prostate Hyperplasia (opens in a new tab)\">Benign Prostate Hyperplasia<\/a> (BPH).\n\n<!-- \/wp:post-content -->\n\n<!-- wp:paragraph -->\n\nIt is a less invasive procedure then treatments currently in use.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThis article details the PAE procedure for BPH.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2>What is BPH?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAn enlarged prostate (BPH) is a condition known to affect more than fifty percent of men over 60 years of age.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nWhile it is benign and rarely leads to <a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/prostate-cancer\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"prostate cancer (opens in a new tab)\">prostate cancer<\/a>, it can cause serious and uncomfortable urological symptoms.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIf left untreated for long periods, incomplete emptying of the bladder can lead to serious kidney disorders.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nCommon symptoms of BPH are:\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul>\n \t<li><a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/frequent-urination-in-men\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Frequent urination (opens in a new tab)\">Frequent urination<\/a> or urgent feelings to urinate.<\/li>\n \t<li><a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/urinary-hesitancy\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">Urinary hesitancy<\/a>.<\/li>\n \t<li>Waking at night several times to urinate (<a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/nocturia\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"nocturia (opens in a new tab)\">nocturia<\/a>).<\/li>\n \t<li>Difficulty in starting or stopping urination.<\/li>\n \t<li>Dribbling or leakage after urination.<\/li>\n \t<li>A weak urine stream.<\/li>\n<\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n\nBPH in most men can often be resolved using herbs, natural remedies, or prescription medications. But when symptoms are severe, a procedure called a Trans-Urethral-Prostatectomy (TURP) is recommended.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"style\":{\"color\":{\"text\":\"#32af25\"}}} -->\n<p class=\"has-text-color\" style=\"color: #32af25;\"><strong><a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/bph\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">For more information about BPH, click here.<\/a><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2><strong>What is Prostate Artery Embolization<\/strong>?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAn <a href=\"https:\/\/www.blf.org.uk\/support-for-you\/pulmonary-embolism\/causes\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"embolism (opens in a new tab)\">embolism<\/a> is a result of a blockage, (embolus) inside a blood vessel. The embolus can be from several causes.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn most cases, an embolus is an unwanted spontaneous action in the body.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nFor example; an embolism in an artery leading to the heart can disrupt blood flow to the heart and result in damage to the heart due to a heart attack.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nEmbolization is the process of causing blockage in an artery. Most often, it is used to shrink a tumor by starving it of nutrient-rich blood.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nA common use is to shrink benign <a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/uterine-fibroids\/symptoms-causes\/syc-20354288\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"uterine fibroid tumors (opens in a new tab)\">uterine fibroid tumors<\/a> in women. By cutting off the blood supply to the fibroid, it shrivels, shrinks and slowly dies. The body absorbs the tumor as it disintegrates.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nProstate artery embolization (PAE) is a relatively new procedure for the treatment of an enlarged prostate.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe treatment has been used for several years in Europe and was approved for use in the US by the FDA in June of 2017.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPAE is one potential alternative to surgical treatment for BPH, such as transurethral resection of the prostate (<a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/prostate-cancer-surgery\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"TURP (opens in a new tab)\">TURP<\/a>). However, while it shows significant potential, it is a new procedure with few documented studies to date.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe procedure is being performed worldwide. However, due to its newness, there are no long-term, high-level studies that show evidence of its safety or efficacy.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe underlying theory for the PAE procedure is that reducing blood supply to the enlarged prostate will starve it of nutrients that are contributing to its growth.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThis will, in turn, cause it to shrink and relieve symptoms caused by the <a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/why-does-the-prostate-swell-at-night\/\" target=\"_blank\" rel=\"noreferrer noopener\">swollen prostate<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2><strong>How PAE is performed<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nThe procedure is performed by an <a href=\"http:\/\/snip.ly\/mh1f19\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"interventional radiologist (opens in a new tab)\">interventional radiologist<\/a> rather than a urologist. Before the procedure, patients are screened using state-of-the-art CT and MRI imaging.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThis ensures that the prostate and nearby arteries are unobstructed. It also rules out malignancy, anatomical variations, or other contraindications for the procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul>\n \t<li>A PAE is generally performed in a hospital setting under light or local sedation. It usually does not need an overnight hospital stay. Post-procedure recovery is typically one to two days at home or less.<\/li>\n \t<li>To perform the procedure, the radiologist guides a small catheter from the patient\u2032s upper thigh or groin. They then thread the catheter into an artery supplying the prostate.<\/li>\n \t<li>With the catheter in position, the radiologist injects a harmless dye to visualize the exact paths of blood flow.<\/li>\n \t<li>Once the exact blood flow is determined, small particles of foreign material are injected to block blood flow to the prostate. The success of the desired blockage is confirmed by continuous imaging.<\/li>\n \t<li>The particles or embolytic agents are conventional polyvinyl alcohol (PVA) particles. The size ranges from 50\u2013500 micrometers.<\/li>\n<\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n\nReports show that spherical agents with different properties have been used. But there is no current evidence that any specific size or type of embolytic agent has superiority.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThis process is repeated with other vessels feeding the prostate that are to be blocked.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPartial blocking of the vessels leading to the prostate reduces blood flow to the organ and hopefully, causes it to shrink.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThis helps reduce discomfort and symptoms related to BPH, including urinary and kidney problems.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nNote that there is a cohort of patients for whom this procedure, even though performed successfully, does not achieve the desired result.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nDuring the procedure, a <a href=\"http:\/\/snip.ly\/bg4ewk\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Foley catheter (opens in a new tab)\">Foley catheter<\/a> (a hollow tube with a balloon at the end to hold it in place) may be inserted through the urethra to allow drainage. The catheter is usually removed the same day or the morning following the procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2><strong>Patient selection<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nPatients that are diagnosed with BPH typically go to a urologist for treatment. Most urologists are also surgeons and usually recommend a TURP procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nNatural health practitioners often recommend a holistic approach to rectify <a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/bph\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"BPH symptoms (opens in a new tab)\">BPH symptoms<\/a> by using over-the-counter nutrients and herbal remedies. In patients without acute symptoms, this approach may result in an acceptable solution.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn some cases, a TURP is counter-indicated based on the patient&#8217;s age or other conditions. BPH sometimes coexists with prostate cancer. Other conditions, especially advanced age, may rule out a surgical approach.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nCurrently, the BPH treatment cohort is typically younger patients with significant symptoms.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nUsually, they have tried the various medications or <a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/best-prostate-supplement\/\" target=\"_blank\" rel=\"noreferrer noopener\">holistic prostate treatment<\/a> remedies available and failed to get sufficient improvement. Or they could not tolerate the medication&#8217;s side effects. Also, many patients rule out surgery because of their inherent risks or procedure side effects.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2>Prostate surgery<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nThe success of many treatment options for BPH is dependent on prostate gland size.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nA PAE is technically easier than a TURP with large, vascular prostates. There is no firm evidence that confirms better outcomes with larger prostates. But a few studies have noted improved symptom relief for men with larger prostates.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn prior years, complete <a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/robotic-prostatectomy\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"surgical removal of the prostate (opens in a new tab)\">surgical removal of the prostate<\/a> was recommended.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nHowever, this is major surgery with its associated surgical risks and severe long-term side effects, especially on a man\u2032s quality of life. Today\u2032s techniques have generally rendered this recommendation obsolete.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPatients must be advised of all available treatment options before making this critical decision. Unfortunately, some urologists are reluctant to recommend a radiologist for a procedure they consider in the realm of urology.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nRather than viewing interventional radiologists as competitors, urologists need to recognize them as partners in the overall care of the patient.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nUnfortunately, many patients have little knowledge of the technical aspects of the various procedures.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nSuch patients may simply follow the recommendations of a urologist. The urologist may be reluctant to recommend anything other than a procedure he or she is intimately familiar with. A second opinion might offer more options.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nFar too often, a man in his late 80\u2032s or early 90\u2032s is subjected to a TURP procedure for acute urinary retention or other serious symptoms. Persistent <a href=\"http:\/\/snip.ly\/wo4y9x\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"urinary retention (opens in a new tab)\">urinary retention<\/a> resulting from BPH can cause serious kidney issues.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn elderly patients, the risks of surgery need to be a primary consideration. Urinary retention can be relieved by teaching the patient how to perform a simple at-home catheterization procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2><strong>Comparison of PAE vs. TURP for treatment of BPH<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nFor several years, a TURP has been the standard of care of treatment for men with BPH. However, within the last few years, PAE has been increasingly introduced for treating symptoms of BPH.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThis has not been without controversy. While PAE seems to offer promising outcomes, there are few published high-quality trials on its safety or efficacy.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nWhile both procedures have similar side effects, PAE has virtually no blood loss and requires less indwelling time of a bladder catheter and no hospital stay.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nBoth procedures convey a risk of acute urinary retention requiring post-procedure, <a href=\"http:\/\/snip.ly\/svpe3m\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"long-term catheterization (opens in a new tab)\">long-term catheterization<\/a> but the rate of occurrence was less than 2 percent in most studies. PAE seems to be better tolerated than TURP in this area.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nSymptoms play a significant role in patient selection for PAE. The most significant symptoms reported by patients are:\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul>\n \t<li><a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/frequent-urination-in-men\/\">Urinary frequency<\/a>.<\/li>\n<\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul>\n \t<li>Nighttime urination (<a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/nocturia\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"nocturia (opens in a new tab)\">nocturia<\/a>).<\/li>\n<\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul>\n \t<li>Urgency.<\/li>\n \t<li><a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/urinary-hesitancy\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">Urinary hesitancy<\/a>.<\/li>\n<\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul>\n \t<li>Incomplete urination or urinary retention.<\/li>\n<\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n\nThese three symptoms have the most impact on a patient&#8217;s quality-of-life score. Initial evidence for PAE suggests that it has a greater effect on these symptoms than a surgical TURP. Patients with acute urinary retention may fare better with PAE.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAdverse events are similar for both treatments, but patients undergoing PAE reported more post-procedure pain, as well as more complications specific to vascular interventions.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPAE patients seemed to have fewer problems with post-procedure <a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/reasons-to-avoid-prostate-surgery\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"erectile dysfunction (opens in a new tab)\">erectile dysfunction<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nWhile most side effects were limited to a small percentage of patients, some of them can be quite serious.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nStudies have reported a <a href=\"http:\/\/snip.ly\/rsu451\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"hematoma (opens in a new tab)\">hematoma<\/a> at or near the catheter insertion site, a post-procedure fever, a case of new-onset erectile dysfunction, and a loss of blood supply to a portion of the bladder wall.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThis latter condition was serious and required trans-urethral surgery to remove necrotic bladder tissue.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPatients undergoing PAE had significantly less post-procedure erectile dysfunction than those undergoing a TURP.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn the literature, TURP causes <a href=\"http:\/\/snip.ly\/mtsoae\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"retrograde ejaculation (opens in a new tab)\">retrograde ejaculation<\/a> in almost 100 percent of patients, while there was little evidence of it for the PAE procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nRetrograde ejaculation is where the man\u2032s ejaculate flows back into the bladder rather than exit through the penis. While this is bothersome for some men, it has little effect on functionality or sensation. It does, however, result in the inability to sire children.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\n<strong><em>Both the PAE and TURP procedures are generally safe. <\/em><\/strong>\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe complication rate of each procedure is generally not clinically significant.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nImprovement in symptoms is realized in more than 80 percent of patients. However, both procedures suggest that up to 10 percent of patients will have some symptom recurrence within 5 years.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe PAE procedure seems to produce a large reduction in prostate volume three months post-procedure. This may be due to atrophy of nutrient-starved prostate gland tissue. Men with larger <a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/prostate-gland-function\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"prostates (opens in a new tab)\">prostates<\/a> may experience more of this effect.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nWhile imaging is a necessary part of the PAE procedure, radiation doses detailed in the literature are minimal, and there have been no significant clinical notations or implications.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2><strong>Potential complications of PAE <\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nPAE is a procedure that affects blood flow in an organ, the prostate. Thus, there is always the potential for an ancillary over blockage to occur. This could completely cut off blood supply to the prostate.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIf this is not dealt with immediately, it could cause serious <a href=\"https:\/\/www.medicinenet.com\/script\/main\/art.asp?articlekey=2389\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"atrophy (opens in a new tab)\">atrophy<\/a> or <a href=\"http:\/\/snip.ly\/3ovkmh\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"necrosis (opens in a new tab)\">necrosis<\/a> of the prostate. In a worst-case scenario, this could result in complete surgical removal of the organ.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nParticles introduced to the prostate vessels might migrate to other nearby structures, such as the bladder or rectum. This could result in an unplanned blockage that may have serious consequences. This is called non-target embolization.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nWhile the number of cases in the literature is small, non-target embolization affecting the rectum, bladder, and penis has been reported.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nHowever, while non-target embolization is serious, most cases were self-limiting or resolved with conservative management.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nSemi-major complications of PAE include :\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul>\n \t<li>the inability to urinate freely after the procedure.<\/li>\n \t<li>acute urinary retention.<\/li>\n<\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n\nBoth complications may require more days of using an indwelling catheter. This could increase the risk of post-procedure <a href=\"https:\/\/pathways.nice.org.uk\/pathways\/urinary-tract-infections\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"urinary tract infection (opens in a new tab)\">urinary tract infection<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nSuch complications occurred between 10 and 20 percent of the patients in some studies.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nOther common minor complications reported were blood in the semen and minor rectal bleeding. Each was reported in less than 10 percent of the patients.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2><strong>Discussion <\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nA 2018 report published in the British Medical Journal provides a detailed outline of the <a href=\"https:\/\/radiology.ucsf.edu\/prostate-artery-embolization\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"PAE procedure (opens in a new tab)\">PAE procedure<\/a> and its outcome in a group of test patients. <a href=\"http:\/\/www.hemingwayapp.com\/#_edn3\" target=\"_blank\" rel=\"noreferrer noopener\">3<\/a>\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe use of PAE to replace the standard TURP for the treatment of <a href=\"https:\/\/www.bensnaturalhealth.com\/blog\/bph\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"BPH (opens in a new tab)\">BPH<\/a> is somewhat controversial.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nTreatment of urological issues has traditionally been the domain of urologists. However, the PAE procedure requires a different skill set. One that falls within the range of interventional radiologists.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn the real world, the competition between these two groups can result in contradictory information reaching patients. This, of course, is dependent on a physician\u2032s discipline.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAdding to this controversy is a lack of substantial evidence supporting superior efficacy and safety of the PAE procedure over conventional TURP surgery.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nMany of the studies reviewed did not have a sufficient number of patients to determine if either procedure was superior conclusively. Also, facilities performing the procedure were often very selective about choosing patients.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nWhile there is no consensus for screening patients for the procedure, there is a tendency for <a href=\"https:\/\/www.nice.org.uk\/Guidance\/IPG611\" target=\"_blank\" rel=\"noreferrer noopener\">PAE<\/a> to be offered only to patients that are deemed poor candidates for surgery.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2>Factors to consider<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nElderly patients are often excluded, although many of them may benefit from PAE. Also, patients using blood thinners or who have conditions affecting blood circulation are often excluded.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPAE can be a challenging procedure to perform due to individual anatomy variations. Thus some centers rule outpatients with arterial kinks or twists that may cause complications. Abnormal anatomy often results in longer screening times, higher radiation doses, and increased risk of procedure failure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe net result of the combined selection process may be that that the efficacy and safety of the procedure can appear enhanced when reported outcomes are published.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nOften, patients who receive the procedure are less likely to have co-morbidities. Improvements of PAE over other standard treatments can be artificially inflated.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nResults of the latest published information indicate that similar improvement in symptoms is achieved with PAE and TURP. However, the TURP procedure offered a clear advantage over a PAE regarding improved urination parameters and reduction in <a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/15181-bladder-outlet-obstruction-\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"bladder outlet obstruction (opens in a new tab)\">bladder outlet obstruction<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe PAE procedure offers minimally invasive therapy for BPH. However, it can also cause non-target embolization to nearby vessels, causing incidental damage to other structures in the body. To date, PAE has little conclusive long-term studies regarding its efficacy and safety.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThere are few reports of PAE associated complications. Typically sites performing and writing on the procedure are those already performing it. Thus, there may be some inherent bias in their results.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPAE has been reported to have a higher complication rate than a TURP. While the scope of adverse events after PAE seems to be less when compared to TURP, this may be an underestimation due to inherent bias or lack of long-term data on the procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2>Preserving erectile function<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nPreservation of erectile and ejaculatory function is a primary consideration for any procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nTo date, some literature has indicated that one or both of these functions were compromised in a small number of patients after a PAE.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAgain this could be due to an inherent reporting bias or a lack of quality information. Since current data only represents short-term outcomes, this may change as long-term data becomes available.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPAE is a complex procedure involving highly variable anatomy. In the human body, blood vessels that become partially blocked often result in the body growing new vessels around them to serve as backup routes for blood flow. This process is quite normal and is called anastomosis.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nSince the PAE procedure, by definition, is a process by which blood vessels are deliberately blocked, <a href=\"http:\/\/snip.ly\/k9t2fo\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"anastomosis (opens in a new tab)\">anastomosis<\/a> can be a natural product of the procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nA high incidence can occur in some patients. This, of course, can negate initial benefits of the procedure, and may not show up for years.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThere is some evidence that, over time, the short-term benefits of a PAE could be overcome by the normal process of the anastomosis. This could result in a multitude of vessels restoring blood flow to the area of the prostate blocked by the procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2><strong>Summary<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nProstate artery embolization (PAE) appears to be a valuable alternative to TURP for the treatment of BPH.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIt might be considered for patients that have minimal symptoms and no serious complications. For patients with severe symptoms of BPH, TURP appears to be more effective than PAE.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nFollowing this more large-scale controlled studies with long follow-up periods must be evaluated before PAE is considered as a routine treatment.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul>\n \t<li>The PAE procedure seems to have minimal side effects.<\/li>\n \t<li>Virtually no surgical risks.<\/li>\n \t<li>Allows for same-day hospital discharge.<\/li>\n \t<li>Rapid return to normal activity with few lingering effects.<\/li>\n<\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n\nWhile there will always be a degree of competition between medical professionals treating the same condition, urologists and interventional radiologists need to come together and work collaboratively to access the safety and efficacy of the PAE procedure with additional studies.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAll practitioners need to provide the best available evidence supporting each potential treatment option. This information is necessary to enable a patient to choose wisely.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIt is also essential that interventional radiologists who perform this procedure have in-depth knowledge and understanding of the male pelvic arterial anatomy. They should also have a solid familiarity with embolization techniques.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPAE appears to be a valid procedure for the treatment of BPH. However, further collaborative trials of the PAE procedure compared to the current standard TURP procedure, with longer-term data would be extremely beneficial.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2>Conclusion<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nWe agree that the PAE should be offered before any other surgery &#8211; in that surgery should not be offered as this does not cure the root cause of the problem.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nTo be clear, we do endorse PAE as a treatment it just isn&#8217;t the first thing we would recommend. The reason we recommend this as a last course of action is that the PAE is still, relatively, in its infancy first being devised in 2009.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPAE or Prostate Arterial Embolisation which is the best option for men who have a grossly enlarged prostate, since it is somewhat less invasive than all the other options. However, it is generally only an appropriate procedure if your prostate is in excess of 100 g.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nProstate artery embolization is generally safe and about 80% successful. However, American hospitals have relatively little experience with this procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPAE is probably a safe procedure, designed to improve your medical condition and save you having a larger operation. Whilst it seems that the PAE is the safest, least invasive procedure out there, there simply has not been enough data to establish the long-term health benefits. Furthermore, there is always a risk of complications with any procedure.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n\n<!-- \/wp:heading -->","protected":false},"excerpt":{"rendered":"<p>Recently, Prostate Artery Embolization (PAE) has been introduced worldwide as a procedure that can help resolve symptoms of Benign Prostate Hyperplasia (BPH). It is a less invasive procedure then treatments currently in use. This article details the PAE procedure for BPH. What is BPH? An enlarged prostate (BPH) is a condition known to affect more [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":16607,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[21,29],"health_topic":[124,133],"class_list":["post-16264","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-bph","tag-the-prostate","health_topic-prostate-health","health_topic-prostate-surgery"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What Is Prostate Artery Embolization? - Ben&#039;s Natural Health<\/title>\n<meta name=\"description\" content=\"Prostate Artery Embolization (PAE) is a procedure that can help resolve symptoms of Benign Prostate Hyperplasia (BPH).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bensnaturalhealth.com\/blog\/prostate-health\/prostate-artery-embolization\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What Is Prostate Artery Embolization?\" \/>\n<meta property=\"og:description\" content=\"Prostate Artery Embolization (PAE) is a procedure that can help resolve symptoms of Benign Prostate Hyperplasia (BPH).\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.bensnaturalhealth.com\/blog\/prostate-health\/prostate-artery-embolization\/\" \/>\n<meta property=\"og:site_name\" content=\"Ben&#039;s Natural Health\" \/>\n<meta property=\"article:published_time\" content=\"2019-09-02T09:30:05+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-30T08:15:12+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.bensnaturalhealth.com\/blog\/wp-content\/uploads\/2019\/09\/Prostate-Artery-Embolization-for-Benign-Prostate-Hyperplasia.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1600\" \/>\n\t<meta property=\"og:image:height\" content=\"400\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Dr. James Occhiogrosso\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr. James Occhiogrosso\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/prostate-health\\\/prostate-artery-embolization\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/prostate-health\\\/prostate-artery-embolization\\\/\"},\"author\":{\"name\":\"Dr. James Occhiogrosso\",\"@id\":\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/#\\\/schema\\\/person\\\/a0bd6d91654536887a33ee63cd3d1e24\"},\"headline\":\"What Is Prostate Artery Embolization?\",\"datePublished\":\"2019-09-02T09:30:05+00:00\",\"dateModified\":\"2026-05-30T08:15:12+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/prostate-health\\\/prostate-artery-embolization\\\/\"},\"wordCount\":2999,\"commentCount\":2,\"publisher\":{\"@id\":\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/prostate-health\\\/prostate-artery-embolization\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/wp-content\\\/uploads\\\/2019\\\/09\\\/Prostate-Artery-Embolization-for-Benign-Prostate-Hyperplasia.jpg\",\"keywords\":[\"#bph\",\"#the prostate\"],\"articleSection\":[\"Blog\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/prostate-health\\\/prostate-artery-embolization\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/prostate-health\\\/prostate-artery-embolization\\\/\",\"url\":\"https:\\\/\\\/www.bensnaturalhealth.com\\\/blog\\\/prostate-health\\\/prostate-artery-embolization\\\/\",\"name\":\"What Is Prostate Artery Embolization? 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