Prostate Artery Embolisation | Prostate Embolization

Can I shrink my prostate without surgery?

Difficulty in passing urine as you get older is commonly because of Benign prostatic hyperplasia (BPH) — also called prostate gland enlargement. Nearly half of men more than 60 years and 90% of those more than 80 years are affected by this condition. The prostate gland lies just under the urinary bladder; thus an enlarged prostate gland can block the flow of urine out of the bladder and cause difficulty in passing urine and other related symptoms.

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These symptoms can include.

Frequent or urgent need to urinate

Urinary tract infection

Difficulty starting urination

Blood in the urine

Dribbling at the end of urination

Inability to completely empty the bladder

Increased frequency of urination at night (nocturia)

Weak urine stream or a stream that stops and starts

This can disturb sleep and cause a significantly lower quality of life.

What are the treatments available for BPH?

There are several effective treatments for prostate gland enlargement, including medications, minimally invasive therapies and surgery. To choose the best option, you and your doctor will consider your symptoms, the size of your prostate, other health conditions you might have and your preferences.

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What is Prostatic artery embolisation (PAE)?

It is a procedure, almost magical, performed by an interventional radiologist through a small pin-hole in the thigh. It is suitable for patients who do not or no longer respond to medications and those who do not desire or are not suitable for surgery. It works by blocking the blood supply to the enlarged prostate thereby making it shrink in size over time. Worldwide, this form of therapy has been proven to be a good and effective alternative to surgery in patients who are suffering from prostate enlargement.

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What are the advantages of PAE?

Shorter hospital stay
Can be done under local anesthesia and mild sedation
Avoid side effects of surgery like sexual dysfunction, urinary incontinence
Lesser duration or avoidance of bladder catheter
Lesser discomfort.

Are you a good candidate for PAE?

If you are suffering from symptoms related to prostate enlargement as mentioned above, you can visit us at Kovai Medical Center and hospital. We will do a physical exam along with an ultrasound scan and urine flow studies to diagnose an enlarged prostate. Based on discussion with the urologist and consideration of other therapies like medication and surgery, a decision on the suitability of PAE procedure for your condition will be made.

Are you a good candidate for PAE?

How is the PAE procedure done?

During the PAE procedure, you’re given a mild sedative, but remain awake. The procedure begins with a tiny incision in your upper thigh or wrist to gain access to your arterial system. Using specialized X-ray equipment, the Interventional Radiologist guides a catheter (a small hollow tube) to the vessels that supply blood to your prostate. Once the IR reaches this location, embolic material (small particles about the size of a grain of sand) is injected through the catheter and into these blood vessels, decreasing blood flow to your prostate. The IR then repositions the catheter in order to treat the other side of your prostate. Depriving the prostate of oxygenated blood will cause it to shrink, thereby improving your urinary symptoms.

When the IR has completed embolization of the prostatic arteries, the catheter is gently removed. The entire PAE treatment can typically take anywhere from one to four hours to perform. You can go back home in a day’s time and resume normal activity. Rarely, you may require a catheter for a few days.

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Contact Info

99, Avanashi Road, Coimbatore – 641014, TamilNadu, India.
+91 96003-73840
drmathew@kmchhospitals.com

Opening Hours

Monday - Saturday09:00 am - 05:00 pm

Testimonial

“
I run a textile business where my presence is crucial. When I was diagnosed for uterine fibroids, I thought the treatment would put me to bed for a few weeks. Thanks to Dr. Mathew and the Interventional Radiology techniques, I was back on my feet on the third day, to my business as usual.

Yamini Dhanraj
“
I had an unbearable headache and was taken to the hospital. Further investigations revealed a blood clot in the brain secondary to a ruptured AVM. My family was dependent on me, getting back to work was crucial. At KMCH Dr. Cherian and his team blocked the abnormal blood vessel without opening my brain. I was soon back to normal. The meter in my auto is running again, quicker than I thought.

Anandakumar
“
One day strangely I felt a kind of heaviness in my bowels. I had blood pouring when I went to the toilet. Over the next few hours, I started losing huge amounts of blood every time I emptied my bowels. I was nearing death. A timely procedure done by Dr. Mathew saved my life. I imagine an open surgery would have kept me for weeks in bed not to mention the other discomforts. I was back attending my patients on the third day.

Dr. Sriram