The Benefits of Prostate Artery Embolization

PAE vs. Prostatectomy

Prostatectomy is a surgical intervention entailing the partial or complete removal of the prostate gland. The procedure is commonly performed to treat prostate cancer.

There are different types of prostatectomy procedures, including

• Radical Prostatectomy
  This is the most common type of prostatectomy for treating prostate cancer. It is the complete removal of the prostate gland and its surrounding tissues. These tissues include the seminal vesicles and sometimes nearby lymph nodes. Radical prostatectomy can be undertaken through open surgery (large incision), laparoscopic surgery (small incisions with the help of a camera), or robot-assisted surgery (using a robotic system controlled by the surgeon).
• Simple Prostatectomy
  This procedure is typically performed to treat an enlarged prostate causing urinary symptoms. Unlike radical prostatectomy, simple prostatectomy involves removing only the inner part of the prostate gland, leaving the outer shell intact.
• Transurethral Resection of the Prostate (TURP)
  This approach is commonly used to treat an enlarged prostate. During TURP, a surgeon inserts a thin tube with a camera (resectoscope) into the urethra and removes the excess prostate tissue, blocking the urine flow. TURP involves considerable post-procedure care and carries a risk of complications.

Prostatectomy is a major surgery that requires careful deliberation and discussion between the patient and their healthcare provider. Potential risks and complications associated with prostatectomy include bleeding, infection, urinary incontinence (loss of bladder control), erectile dysfunction, and urinary strictures (narrowing of the urethra).

Recovery time after a prostatectomy varies depending on the type of procedure and individual factors. It can require weeks or months of recovery before normal activities can be resumed.

Prostate Artery Embolization Advantages

If you are struggling with symptomatic prostate enlargement, here are a few reasons PAE could be an excellent treatment option:

• Preserves Sexual Function
  One significant advantage of PAE is its ability to preserve sexual function. Unlike prostatectomy, which involves the removal of the prostate gland, PAE targets the arteries supplying the prostate, causing shrinkage of the gland. As a result, PAE minimizes the risk of erectile dysfunction and other sexual complications, which are more commonly associated with prostatectomy.
• Lower Risk of Incontinence
  PAE offers a lower urinary incontinence risk than prostatectomy. During a prostatectomy, the removal of the prostate gland can damage the surrounding structures responsible for urinary control, leading to postoperative incontinence. In contrast, PAE does not involve the removal of the gland, reducing the risk of complications related to urinary control.
• Minimally Invasive Procedure
  PAE is a minimally invasive procedure that uses catheter-based technology. This approach involves accessing the prostate arteries through a small incision, typically in the groin or wrist, and delivering small particles to block the blood supply to the prostate. Compared to prostatectomy, which requires open surgery or laparoscopic techniques, PAE offers reduced trauma, shorter hospital stays, and faster patient recovery times.
• Reduced Blood Loss and Complications
  Prostatectomy is a surgical procedure with inherent risks, including significant blood loss and potential complications such as infection, blood clots, and anesthesia-related issues. In contrast, PAE is associated with minimal blood loss due to its targeted approach, reducing the need for blood transfusions and lowering the risk of related complications.
• Suitable for High-Risk Patients
  PAE provides a viable alternative for high-risk patients who are not suitable candidates for surgery, such as those with multiple comorbidities or advanced age. With its extensive surgical approach, prostatectomy may pose significant risks for these individuals. PAE offers a safe and effective alternative that can provide symptom relief and improve quality of life without subjecting patients to the potential risks associated with surgery.

Dr. Carlson - Benign Prostate Artery Embolization

Texas Prostate Institute: Effective, Non-Surgical Prostate Care

The team at Texas Prostate Institute is proud to provide highly effective BPH treatments that yield stellar results for a diverse population of patients. With state-of-the-art tools and technologies, we help patients dramatically reduce their symptoms, preserve sexual function, and enhance their overall well-being.

If you think prostate artery embolization treatment could be right for you, please contact the caring team at Texas Prostate Institute today for a consultation at 713-575-3686.