Prostate Artery Embolization Procedure

Overview: This article provides further insight into a minimally invasive way to address this condition affecting the male pelvic gland.

male urogenital system

A Minimally Invasive Treatment to Reduce the Volume of an Enlarged Prostate

This prostatic intervention is a minimally invasive procedure involving the blocking of the prostate-related arteries with small beads. The operator places a catheter into an artery, usually at the wrist or groin, and navigates to the pelvic arteries to block these arteries. The entire intervention takes place through the vessels, meaning there is no treatment through the penis: no endoscope, no urinary catheter. The patient can return home after a few hours of monitoring.

An Effective Treatment for an Enlarged Prostate

The results of this specific intervention are excellent, with a significant improvement in urination function in 80 to 90% of cases. This improvement refers to both objective scores for evaluating urinary incontinence disorder and the patient's perception of their symptoms. More than 90% of patients (in studies) are very satisfied with the procedure and would recommend it to a loved one or choose embolization again if it were necessary.

Some studies show an improvement in erectile dysfunction after this kind of treatment. This improvement is variable, and the mechanisms are not fully understood. Currently, there is no official evidence of a possible side effects of prostate embolization on erectile dysfunction.

A Treatment That Preserves Urinary and Sexual Function

Another advantage of this technique is the preservation of urinary and sexual functions, especially ejaculation. There is never any urinary incontinence after treatment. Additionally, the serious side effects of prostate embolization are virtually nonexistent (read the article about the side and sexual effects of this prostatic intervention for more information).

How This Prostate Embolization is Performed

• During the consultation, you will meet with the interventional radiologist and the anesthesiologist.
• On the day of the procedure, you will be escorted to the vascular room.
• A venous line will be inserted.
• Although the intervention itself causes no pain, an anesthesiologist will be with you to provide sedation. In most cases, no urinary catheter is necessary.

The procedure typically lasts about 1 hour and 30 minutes. You will have the option to follow the procedure live or to be lightly sedated by the anesthesiologist.

You will then remain under supervision for 4 hours before being sent home. The recovery time after embolization is much shorter than after traditional surgery.

How to Prepare Properly for this prostatic intervention

On the day of the consultation, you will need to bring all imaging and biological evaluations related to your prostatic gland.

You will be given a prescription for a urine test to ensure that your urine is sterile on the day of the intervention is performed.

What Results Can Be Expected from This Treatment?

Many articles in medical literature report an effectiveness rate of this minimally invasive operation is close to 90%. 

In case of failure, a second prostatic intervention or a traditional surgical technique may be considered.

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