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Embolization Offers Minimally Invasive Approach to Enlarged Prostate Management
Radiology
Sat Jun 08 2024
Researchers have identified a promising minimally invasive procedure for treating benign prostatic hyperplasia (BPH). It is commonly known as enlarged prostate.
BPH is a widespread condition affecting older men. The condition leads to bothersome urinary symptoms like:
- Weak stream
- Dribbling at end of urination
- Increased frequency and of urgency of urination
- Frequent urination at night.
Some men experience mild symptoms. Others face a significant decline in quality of life. They struggle to sleep through the night and limit their daily activities due to constant bathroom urgency.
Traditional BPH treatments may have limitations. Surgical procedures are effective. But they carry a risk of complications. Side effects may include incontinence and erectile dysfunction. Medications may not be effective for all patients. Some men may experience unwanted side effects that further impact their quality of life.
Prostate artery embolization (PAE) emerges as a possible alternative. This minimally invasive procedure is performed by specially trained interventional radiologists. It involves inserting a thin catheter through the wrist and guiding it using real-time X-ray imaging to the arteries supplying blood to the prostate. Tiny microscopic beads are then deployed through the catheter to block blood flow. It causes the prostate to shrink over time.
PAE- Is It Safe?
Initial studies suggest PAE is both safe and effective. Men who have undergone PAE report substantial improvement in urinary symptoms. Early data shows significant reductions in nighttime urination and a stronger urinary stream. It allows men to regain control of their bladder function.
PAE offers several advantages over traditional BPH treatments:
- Minimally invasive approach: Unlike surgery, PAE requires only a small incision in the wrist, minimizing recovery time and discomfort.
- Low complication risk: PAE is associated with a lower risk of complications compared to surgery.
- Negligible risk of incontinence or erectile dysfunction: Unlike some BPH treatments, PAE is designed to spare nerves and blood vessels responsible for sexual function and urinary control.
- Expedited recovery time: Following PAE, most men recover quickly and can resume normal activities within a day or two.
While PAE is a relatively new procedure, long-term data is still being collected. However, for men with bothersome BPH who are not suitable candidates for surgery or medication, PAE presents a potentially life-altering option.
Men experiencing urinary symptoms consistent with BPH should consult their physicians. A simple urine flow test can be used to assess urinary flow rate and identify potential BPH. Early diagnosis and treatment can help prevent complications and improve quality of life.
The availability of diverse treatment options empowers men with enlarged prostate to take an active role in their healthcare decisions. By discussing all available options with their physicians, men with BPH can choose the treatment approach that best suits their individual needs and preferences, allowing them to regain control of their urinary symptoms and improve their overall well-being.
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