A Definitive Non-Surgical Solution for Enlarged Prostate: Prostatic Artery Embolization (PAE)
Dear patients and valued visitors,
I am Prof. Dr. Aykut Recep Aktaş. My specialisation is Interventional Radiology, and I am proud to offer our patients groundbreaking, minimally invasive treatment methods. Enlarged prostate (Benign Prostatic Hyperplasia – BPH) is a common health issue affecting millions of men. Alongside traditional surgical options, we can now significantly improve our patients' quality of life with Prostatic Artery Embolization (PAE) – a non-surgical, effective, and comfortable solution.
What is Prostatic Artery Embolization (PAE) and How Does It Work?
Prostatic Artery Embolization (PAE) is a minimally invasive treatment developed for patients experiencing symptoms related to an enlarged prostate. In this procedure, as an expert interventional radiologist, I access the arteries supplying the prostate by inserting a special catheter through a tiny incision in the groin area. Microscopic particles (embolic agents) are then injected into these vessels. These particles block the blood flow to the prostate tissue, reducing its blood supply. Over time, the prostate tissue, deprived of adequate blood flow, shrinks, and the urinary symptoms caused by its enlargement resolve.
Advantages of PAE Over Traditional Surgery
PAE offers numerous significant advantages compared to traditional surgical methods:
Non-Surgical and No General Anaesthesia: The procedure is performed under local anaesthesia, with only the groin area numbed. The absence of general anaesthesia risks provides a major comfort and safety benefit, especially for elderly patients or those with co-existing medical conditions.
Minimally Invasive Method: There is only a needle puncture of a few millimetres on the body. No open surgical incision, stitches, or scarring.
Rapid Recovery Process: Patients can usually walk a few hours after the procedure and be discharged the same day or the next. The return to normal daily activities is very quick, ideal for those travelling for treatment.
Preservation of Sexual Function: Unlike traditional prostate surgeries, PAE generally does not have adverse effects on sexual function. The risk of erectile dysfunction and retrograde ejaculation (semen flowing backward) is remarkably low.
Lower Risk of Complications: Surgical risks such as bleeding, infection, and urinary incontinence are much less common with PAE.
Suitable for All Prostate Sizes: While surgical treatments can be more challenging for particularly large prostates, PAE can be an effective option for prostate glands of all sizes.
Who is a Candidate for PAE?
Prostatic Artery Embolization may be considered for patients who meet the following criteria:
Those with moderate to severe symptoms of enlarged prostate (frequent urination, waking up at night to urinate, difficulty urinating, interrupted urine flow, etc.).
Patients whose symptoms persist despite medication or who have not responded to drug therapy.
Patients with high surgical risks (due to advanced age, heart disease, diabetes, or other chronic conditions) or those deemed unsuitable for surgery.
Individuals who prefer not to undergo surgery and are seeking a non-surgical alternative.
Treatment Process: PAE Step-by-Step
The PAE procedure typically lasts between 1-3 hours and involves the following steps:
Preparation and Local Anaesthesia: A detailed patient evaluation is performed before the procedure. In the operating suite, the groin area is sterilised and numbed with local anaesthesia.
Catheter Placement: A thin needle is used to access the femoral artery in the groin, and a very fine catheter is then advanced into the vessel over a guide wire.
Identification of Prostatic Arteries: Under imaging guidance (fluoroscopy), the catheter is advanced to locate the arteries supplying the prostate. At this stage, contrast dye is injected to map the vessels.
Embolization: Once the prostatic arteries are identified, microscopic embolic particles are injected into these vessels to block blood flow.
Post-Procedure: Pressure is applied to the puncture site to control bleeding, and the patient is transferred to a recovery room for observation. Patients are usually discharged after a short observation period.
Success Rates and Expectations
Prostatic Artery Embolization has proven to be a safe and effective treatment method with high success rates in studies conducted worldwide. A significant improvement in symptoms, increased urine flow rate, and an enhanced quality of life are observed in the vast majority of patients (typically 70-90%). Efficacy usually begins within the first few weeks after the procedure and reaches its maximum level within 3-6 months. The benefits achieved have been shown to be long-lasting.
Possible Side Effects and Risks
As with any medical procedure, PAE also carries some potential, though very rare, side effects and risks. These are generally mild and temporary:
Mild pelvic pain or discomfort that may last for a few days after the procedure.
Temporary presence of blood in urine or semen.
Bruising or tenderness in the groin area.
Very rarely, urinary infections or complications at the vascular access site.
These side effects are typically easily managed with medical treatment. Serious complications are extremely rare, and risks are minimised through the experience of a specialist Interventional Radiologist.
Innovations in Interventional Radiology and Our Clinical Approach
Interventional radiology is a rapidly evolving branch of modern medicine that effectively utilises technological innovations. As Prof. Dr. Aykut Recep Aktaş, I combine advanced imaging methods and minimally invasive techniques to provide our patients with the most accurate diagnosis and treatment plan. For information on our robotic technologies in interventional radiology, please visit our prostate biopsy page. This is part of our holistic approach, which enhances our precision and success rates in procedures like PAE. At our clinic, we adopt a multidisciplinary approach to ensure our patients experience the most comfortable and safe treatment journey.
A Reliable Choice for Non-Surgical Prostate Treatment: PAE
If you are experiencing symptoms of an enlarged prostate and are seeking a non-surgical, minimally invasive solution, Prostatic Artery Embolization (PAE) may be a suitable option for you. As an expert Interventional Radiologist, I am delighted to utilise the advantages and effectiveness of PAE to improve our patients' quality of life. To make the most informed decision about your health, please feel free to contact me for a detailed evaluation and the creation of a personalised treatment plan. Remember, modern medicine offers you non-surgical, safe, and effective solutions.