What is BPH?
Benign prostatic hyperplasia (BPH) is non-cancerous enlargement of the prostate with age. It presses on the urine passage and causes a weak stream, hesitancy, frequent urination, waking at night to pass urine, and a feeling of incomplete emptying.
Who may benefit from PAE
- Men with moderate to severe symptoms despite medicines
- Men with a large prostate
- Those who wish to avoid surgery or have medical conditions that make surgery risky
- Men keen to reduce the risk of sexual side effects
Evaluation includes a urology assessment, PSA test, ultrasound and usually a CT or MR angiogram to map the prostate arteries.
The procedure
Through a pinhole in the wrist or groin, a microcatheter is guided into the small arteries supplying the prostate and tiny particles are injected to reduce blood flow. Most patients go home the same day or the next morning, and symptoms improve gradually over weeks.
Frequently asked questions
Is PAE an alternative to TURP?
For selected men, yes. TURP generally gives a larger immediate improvement, while PAE avoids surgery and has a lower risk of sexual side effects. The choice depends on your prostate and preferences, ideally discussed with your urologist.
Will I need a urinary catheter?
Usually not after PAE.
This page is for general education and is not a substitute for medical advice. Treatment depends on your examination and test results.