Benign Prostatic Hyperplasia (BPH) – Enlarged Prostate

Advances in interventional radiology have made it possible to shrink an enlarged prostate gland without medication or traditional surgery.

We offer treatments for the following conditions:

 

Benign prostatic hyperplasia (BPH), also called prostate gland enlargement, is a common condition in older men. It causes uncomfortable urinary symptoms which tend to worsen over time. While benign, BPH can have a negative impact on the lifestyles of senior men and their partners.

Symptoms of BPH

The most common symptoms of BPH include:

  • Needing to urinate more frequently, especially at night
  • Urinary urgency
  • Difficulty starting a urine stream
  • Weak urine stream
  • Urine stream that stops and starts
  • Dribbling after urination
  • An inability to completely empty the bladder

Less common symptoms of BPH include:

  • Urinary tract infections (UTIs)
  • An inability to urinate
  • Blood in the urine

Treatment Options for BPH

First line therapy for BPH starts with medication or surgery. But medications can have unpleasant side effects, and surgeries come with serious risks.

A new, exciting breakthrough for treating BPH was approved by the FDA in 2017. It is a minimally invasive procedure called prostate artery embolization (PAE).  It is done in an office setting, through a tiny nick in the skin. This approach is becoming a favored option for many men. PAE shrinks the prostate gland without touching it and carries little to no risk of urinary or sexual side effects. It is an excellent alternative to TURP and other prostate surgeries.

Prostate Artery Embolization (PAE) for Enlarged Prostates

PAE is very appealing to those who are concerned about the risks associated with TURP or who are not candidates for traditional surgery.

PAE is performed through a small nick in the skin and uses real-time imaging. A tube is inserted into the artery that supplies blood to the prostate. Micro-beads are deposited in the area to slow the blood flow to the prostate which causes it to shrink. Patients go home the same day with minimal restrictions and no catheter. PAE can reduce the size of the prostate up to 40% which relieves pressure on the urethra and improves symptoms

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