What it is
This is a minimally invasive, image-guided procedure. Prostate artery embolization (PAE) reduces blood flow to an enlarged prostate. With less blood supply, the prostate can shrink and soften over time, which may ease urinary symptoms caused by benign prostatic hyperplasia (BPH).
Who may be a candidate
This procedure may help:
- Men with bothersome urinary symptoms from BPH, such as frequent urination, weak stream or getting up at night
- Men whose symptoms have not improved enough with medicine, or who want to avoid medicine side effects
- Men looking for an option without an incision
Whether it fits you is decided after a review of your history, exam and imaging.
How it works
You receive local anesthesia with mild sedation. Imaging, often a CT or MRI, is used ahead of time to plan treatment. Dr. Gibbens places a thin catheter in an artery at the wrist or groin and, using X-ray guidance, steers it into the small arteries that supply the prostate. Tiny particles are released to reduce blood flow.
Why choose this option
- Done through a thin catheter, with no large incision
- Guided by live X-ray imaging
- Outpatient care, and most people go home the same day
- Performed by Dr. Gibbens, board certified in Interventional Radiology and Nuclear Medicine
Recovery
Most people go home the same day. Some mild pelvic discomfort, burning with urination or more frequent urination for a few days is common. Urinary symptoms usually improve gradually over several weeks.
Who performs the procedure
Interventional radiologist, board certified in Interventional Radiology and Nuclear Medicine. Dr. Gibbens performs the embolization and other interventional radiology procedures listed on this site, at Bey Lea ASC (54 Bey Lea Road, Building 2, Toms River). Your evaluation and follow-up take place at any of our 7 GSMC offices.
Patient handout
Frequently asked questions
Is this procedure surgery?
No. It is a minimally invasive, image-guided procedure done through a thin tube (catheter) placed in a blood vessel at the wrist or groin. There is no large incision.
Who performs it?
Douglas Gibbens, MD, an interventional radiologist board certified in Interventional Radiology and Nuclear Medicine, performs this procedure at Bey Lea ASC in Toms River.
Will I go home the same day?
Most people go home the same day after a period of rest and monitoring. Plan to have an adult drive you home.
Will PAE affect sexual function?
PAE is designed to avoid the nerves and structures involved in sexual function. Dr. Gibbens will review your specific risks with you.
What about my medicines?
Our team reviews your medicines before the procedure. Do not stop a blood thinner unless the doctor who prescribes it approves.
Does insurance cover it?
Coverage varies by plan and diagnosis. Our team will check your plan and talk with you about costs before anything is scheduled.
How do I find out if I am a candidate?
Request a consultation or call 732-202-3000. Your evaluation includes a review of your history and imaging, and a talk about all of your options.
More interventional radiology procedures
Request a consultation
Talk with our team about whether prostate artery embolization may fit your goals. This page is general education and is not medical advice.