Innovative Minimally Invasive Option to Treat BPH

Benign Prostatic Hyperplasia
Benign Prostatic Hyperplasia (BPH) is a common condition that will affect most men as they age. In fact, nearly 70% of men 60-70 years old likely suffer from symptoms of BPH. Many of these men will require treatment for their symptoms. Treatments include medication or surgical options, the most common of which is a transurethral resection of the prostate (TURP).

These options, while relieving symptoms, can also have significant side effects, including postoperative pain, decreased libido, erectile dysfunction, urinary tract infections, and other issues or complications. Complications with surgery are associated with up to 20% of procedures.

Innovative minimally invasive option
A relatively new, minimally invasive option is available at Minimally Invasive Surgical Solutions, prostate artery embolization (PAE) is a highly effective treatment for men with Benign Prostatic Hyperplasia (BPH). It is an outpatient procedure done under moderate sedation using only a small femoral or radial artery access sheath. Within a month, patients generally notice significant improvement in their urinary flow, with most patients ultimately achieving AUA symptom score improvement of 15-25. Many are even able to discontinue their BPH medications.

The procedure has been practiced for over 7 years with data showing short and mid-term durability of results. Randomized trials have shown PAE to be slightly inferior to TURP regarding symptom improvement, but with better complication rates, reduced side effects and faster recovery times.

Ideal PAE candidate
Ideal candidates for PAE are men over 50 with:

  • Diagnosis of BPH with moderate to severe lower urinary tract symptoms
    refractory to medical treatment for at least 6 months
  • PSA <4
  • Prostate volume > 40ml
  • Contraindication or comorbidities preventing surgery
  • Indwelling Foley catheters
  • Gland volume too large for transurethral procedures
  • Signi cant hematuria

If you would like to schedule your patient for an appointment with an Interventional Radiologist call 408-918-0405