Prostate Artery Embolization (PAE): Potential Side Effects

While no medical intervention is risk-free, the potential side effects of prostate artery embolization (PAE) are minor. The most common side effects include the following complications

• Urinary tract infection (UTI)
  Urinary tract infections (UTIs) are a known complication of PAE, though they are generally considered rare – reported UTI occurrences range from 2% to 8%. UTIs can be successfully resolved through the administration of antibiotics.
• Discomfort
  One of PAE's more common side effects is abdominal or pelvic pain post-procedure. This pain can be managed successfully using drugstore pain relievers such as ibuprofen or acetaminophen. However, severe or persistent pain must be addressed by your doctor.
• Bleeding
  Bleeding is a known side effect that may occur during or after the PAE procedure. While the incidence of bleeding varies, studies have reported rates ranging from 1% to 5% of patients experiencing bleeding complications.
• Non-targeted embolization
  Non-targeted embolization, where embolic agents inadvertently travel to unintended areas, can cause potential complications. It can occur when the blood vessels supplying the prostate may have different origins or branching patterns. Additionally, collateral vessels may develop over time to compensate for reduced blood flow in the prostate arteries. However, having a highly experienced interventional radiologist can significantly mitigate the risk.
• Post-Embolization Syndrome (PES)
  PES is a temporary condition characterized by a group of symptoms that occur following an embolization procedure. It often manifests approximately 48 hours post-procedure. Symptoms include lower abdominal or pelvic pain, fever, nausea, and fatigue.
• Testicular inflammation and discomfort
  Post-procedure testicular inflammation and discomfort are potential risks associated with PAE. However, the available research suggests it’s a rare occurrence. Discomfort can usually be managed with cold compresses or over-the-counter pain medication.
• Blood clotting
  Although extremely rare, patients may experience blood clotting while undergoing PAE or shortly after.
• Allergic response
  Some patients are allergic to the contrast medium used for the PAE image guidance. It is critically important to disclose any allergies during the initial consultation.
• Retrograde ejaculation (dry orgasm)
  In some patients, PAE causes retrograde ejaculation, where ejaculate fluid is rerouted to the bladder rather than exiting the body through the urethra. While this rare reaction does occur after PAE, it occurs much more frequently after transurethral resection of the prostate (TURP), an invasive surgical procedure.

There have been rare reports of other side effects, including damage to blood vessels, injury to the bladder, and negative responses to anesthesia. The highly trained and experienced specialists at Texas Prostate Institute can help mitigate these risks and side effects.

This list of side effects and risks is not comprehensive, and patient responses may differ. Open and in-depth conversations with your doctor are essential for achieving optimal results.

Texas Prostate Institute: Our Dedication to Exceptional Patient Care

Texas Prostate Institute is a leading healthcare facility providing compassionate and effective non-surgical interventions for benign prostate hyperplasia (BPH). We offer leading-edge treatments that prioritize patient comfort and well-being.

Our team takes pride in employing state-of-the-art technology and equipment to deliver the highest standard of care to our patients. We stay abreast of current advancements in prostate care, ensuring we provide the safest and most effective interventions available.

We take risk management seriously. The interventional radiologists conduct a comprehensive pre-procedure assessment to evaluate each patient's suitability for PAE. This assessment includes a detailed medical history review, physical examination, and imaging studies. We aim to identify any contraindications or potential risk factors that may increase the likelihood of adverse effects during or after the procedure.

Despite the known risks, prostate artery embolization (PAE) remains the safest and most effective treatment for a symptomatic enlarged prostate.

If you think PAE is right for you, please contact our helpful representatives to schedule an evaluation today.