Prostate Artery Embolisation
For PAE, Radiologists insert a catheter (a small plastic tube) through an artery in your thigh and using imaging, inject tiny plastic particles into the blood vessels that feed the swollen prostate. These ‘plug’ the blood vessels and force the prostate to shrink.
Although the procedure takes a long time and involves significant radiation exposure it can be done under local anaesthetic. A randomised trial was set up and published in the BMJ to try and prove “non-inferiority” to TURP but failed to do so with a lower improvement in symptom scores, and other studies have raised questions about its treatment in men with catheters. PAE does have a low complication rate, and has a role in older men who aren’t suitable for operative intervention. Once patients are fully investigated and counselled by our team of urologists, we refer suitable candidates to the interventional radiology team in Southampton who are at the forefront of developing this technique.
BAUS Patient Information Leaflet- https://www.baus.org.uk/_userfiles/pages/files/professionals/sections/PAE-Jun2018.pdf