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.
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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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.
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.
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.