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What is Prostate Artery Embolization?

Prostate Artery Embolization (PAE) is a safe and effective treatment option for men with BPH and, like other minimally invasive procedures, offers several advantages over traditional surgery. The average prostate size is seen to shrink by approximately 30% one year after PAE. It is performed by a highly skilled interventional radiologist, using advanced techniques for treatment. 

PAE is a same-day, minimally invasive outpatient procedure used to treat symptoms of an enlarged prostate caused by benign prostatic hyperplasia (BPH). As men age, they may develop BPH, which is the most common benign tumor found in men that leads to the enlargement of the prostate gland. PAE blocks the blood flow to the prostate artery and uses advanced imaging techniques to see inside the body and provide treatment without surgery. This causes the prostate to shrink and allows improved urination and relief of other symptoms for the patient.

Benefits of Prostate Artery Embolization

PAE is a safe non-surgical option for men with Benign Prostatic Hyperplasia. Unlike traditional surgery, there is no hospital stay, less recovery and side effects, and no limits on the size of the prostate. Other benefits of PAE include:

  • Performed as an outpatient procedure
  • No hospital stay and shorter recovery time
  • Low risk of sexual side effects or incontinence
  • Virtually no blood loss
  • Minimal pain and swelling
  • Less need for catheter use (in most cases)
  • No limits on prostate size, urethral narrowing, or bladder capacity

Candidates for Prostate Artery Embolization

The best candidates for PAE are men with severe BPH who experience frequent urination during the day or night, or always feel like they have to go to the bathroom to urinate, but nothing comes out. Those symptoms indicate to patients that they have an enlarged prostate and may need some form of treatment. You may also be a candidate if:

  • You wish to preserve your sexual function
  • You’re looking for a minimally invasive alternative to surgery
  • You have a prostate size of over 40 grams
  • You have symptoms that are not controlled well by medication

How to Prepare for Prostate Artery Embolization

Once you have your diagnosis of BPH and have chosen prostate artery embolization as the treatment, it is time to prepare for your procedure. Preparation is minimal. You will receive instructions on the steps you should take prior to and up to the day of your procedure. These may include the following:

  • Start or stop medications prior to and day of the procedure
  • Do not eat solid foods 6 hours before your exam
  • You can drink clear liquids up to 4 hours before your exam
  • You may have blood and urine samples taken
  • You will have an IV inserted to allow for fluids and medication to be given
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Schedule an Appointment

Schedule an appointment at your nearest American Endovascular affiliated center.

How is Prostate Artery Embolization Performed?

PAE is performed as an outpatient procedure, and no general anesthesia is required. You will receive IV medications to alleviate pain and anxiety, ensuring your safety and comfort for the duration of the procedure. A small catheter is inserted through the artery supplying blood to the enlarged prostate. Then, tiny particles are injected into the prostate arteries, inhibiting blood flow. The process is repeated on the other side, most commonly through the same original puncture. Depriving the prostate of oxygenated blood will cause it to shrink, improving your BPH symptoms. 

PAE can take anywhere from 1-2.5 hours, depending on the location and size of the arteries to be embolized. This is a complex procedure because of the very small size of the prostatic arteries and the “twists-and-turns” required to navigate the catheter to them. However, the American Prostate Center’s affiliated physicians are highly skilled in the diagnosis of BPH and prostate artery embolization. They utilize the latest technology and minimally invasive techniques to deliver the highest quality outcomes for patients suffering from an enlarged prostate.

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Prostate Artery Embolization Recovery Time

Since PAE does not involve surgery, patients can typically go home the same day. You will likely need about four days to recover at home with over-the-counter pain medications and a short course of antibiotics. Most patients feel back to normal after a week to 10 days. The first changes are seen most commonly after 2-3 weeks, and improvement should continue over the next six months. It’s important to follow all post-operative instructions from your physician to achieve the best possible results.

What to Expect After Prostate Artery Embolization

After prostate artery embolization, results are not immediate, because surgery or physical removal of the prostate was not performed. Symptoms will start to improve as the prostate gland shrinks and eases up on the urethra. 90 percent of patients experience relief within the first year.

Because PAE is minimally invasive, there are usually little to no side effects after the procedure. You will be discharged after about two hours, with over-the-counter pain medicine and a precautionary, short course of antibiotics. Side effects are limited, and urinary symptoms may last up to a week after the procedure. Relief from symptoms should continue to improve over the next six months.

PAE Frequently Asked Questions

How successful is PAE for prostate?

Prostate artery embolization has a high success rate, with over 90% of men experiencing relief from symptoms in the first year after the procedure. The first changes are commonly seen in the first two months.

How many years does prostate artery embolization last?

The benefits of PAE are long-lasting, with most patients experiencing relief from symptoms for at least 3-4 years. Some studies have even reported results lasting up to 10 years, making it a highly effective treatment option for BPH.

Does insurance cover prostate artery embolization?

Yes, PAE is covered by Medicare and most private insurance plans. However, insurance coverage for prostate artery embolization (PAE) varies depending on the specific policy and provider. It’s essential to check with your insurance company to determine if PAE is covered under your plan and to understand any potential out-of-pocket costs.

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Why Choose American Prostate Centers for PAE?

Choosing American Prostate Centers for prostate artery embolization is a wise decision. We are committed to helping you get the highest quality of care and treatment for your prostate condition. Our team of affiliated prostate specialists are some of the nation’s most respected and admired interventional radiologists. They are trained to perform PAE, a minimally invasive-image guided procedure for BPH, to provide patients with long-lasting relief from urinary problems. 

As soon as you enter our doors, our affiliated physicians will make sure that you are met with the utmost care and compassion. They will evaluate your BPH symptoms, determine if you’re a candidate for the PAE procedure, and provide a treatment plan that is customized to your unique needs and overall health.

Our Prostate Specialists

If you are considering treatment for an enlarged prostate, it is crucial to receive a complete evaluation by a Board Certified physician at American Prostate Centers. Prostate Artery Embolization is currently being offered at our affiliated center in Queens, NY, and will be available soon at our other prostate centers.

Our Prostate Center in NY

American Prostate Center is located in Queens, NY. Our center is equipped with the latest minimally invasive-image guided technology that offers patients streamlined care in an outpatient setting.

Queens, NY
28-18 31st Street
Queens, NY 11102
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What Our Patients Are Saying

I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
Jamel Jackson
Jamel Jackson
14:07 27 Feb 24
The absolute BEST Dr!! Detailed, caring & kind! The best medical procedure I’ve ever had from consultation to post procedure, perfect! 10s all around 👏🏽👍🏽👍🏽 many thank yous🙏🏾
Josi W
Josi W
22:04 12 Jan 24
Excellent service and staff i’ll let you feel relaxing and comfortable
kadine campbell
kadine campbell
21:01 23 Oct 23
Really like this doctor, talks in your language, just over all regular nice person.
Linda Thoomey
Linda Thoomey
22:03 21 Jul 23
I’m very satisfied of my visit for the first time, everyone was concerned about me, and Dr David was very patient to listen to my long health stories, after that He gave me good explanation for my problem, that was great 👍
Claude Jean Pierre
Claude Jean Pierre
22:38 18 Jul 23
Follow up to a procedure. Dr Mobley and his staff are great and always helpful
DanLiza Diehl
DanLiza Diehl
21:25 10 Jul 23
David monkey,MD and the grupo are excellent very kind and helpful.i will return to them.the attention.its very satisfied.thank u ..
Luis Sarria
Luis Sarria
12:16 29 Jun 23
I had a good experience with my procedure and Dr. Mobley’s follow-up calls are great. I’ve never had a doctor who has been so concerned about following up after a procedure to see how I’m doing and if there are any post-procedure problems I may have experienced (which there aren’t). I’d highly recommend Dr. Mobley.
Hey Beej
Hey Beej
16:42 23 Jun 23
Dr Mobley was so helpful, informative and made me feel secure in making my future medical plan. Supportive and kind. Highly recommended.
Amanda L Browder
Amanda L Browder
15:57 23 Jun 23
Doctor was very thorough. Explaining what the procedure is all about. Tell me what I could realistically expect. Couldn’t have asked for a better consultation. Highly recommended if you have a prostate issue
John Buric
John Buric
16:26 15 Jun 23
I was very pleased and satisfied on how Dr. David Mobley examined me and explained everything on what I need to know regarding my condition. He’s very professional and knowledgeable in all aspects of his profession. I would highly recommend him to my other friends!
Celine Parcon
Celine Parcon
23:16 07 Jun 23
He puts his patients before himself, returning calls and e-mails quickly. Not only is he kind and considerate, he is an excellent physician. I had to have a procedure that requires me to be awake, and he talked me through it and kept me at ease. If I could give him more stars, I would.
Super friendly, tentative, once in the procedure rm the sx staff made you feel comfortable, easy,+ answered all questions. David mobley, MD answered all my questions, very informative, caring. I felt confident in his care
Thais Bini
Thais Bini
21:22 30 May 23
Great doctor. Everyone is so kind and caring. Great place to go
Joan Jurica
Joan Jurica
14:46 30 May 23
The best in Astoria I recommend Dr mobley and staff 100 percent
michaela1951
michaela1951
21:25 30 Mar 23
Knowledgeable , experienced, great bed side manners
mohamed hamed
mohamed hamed
10:09 30 Mar 23
The doctor was very nice and professional. He explained the tests that I need and why I need them.
Judith AndersonNeal
Judith AndersonNeal
22:12 27 Mar 23
This was the best experience I have had in such a long time and I have had quite a few procedures in the past both in patient and out including the procedure I was currently present for. No other surgeon has been so kind, transparent, and gentle. Not only did he personally come out beforehand to provide me with education on my procedure, but he talked me through every step of the way and made me feel so comfortable and relaxed. Not to mention his amazing staff! Despite being extremely nervous they kept me smiling and laughing throughout the whole process. 10/10 would recommend. Thank you so much guys!!
Riah L.
Riah L.
13:49 22 Mar 23
Excellent bedside manners and the procedure was a breeze.
sen-pei hsia
sen-pei hsia
18:26 20 Mar 23
Los mejores/ the best💖🙏
Ruthy Ochoa
Ruthy Ochoa
04:17 03 Mar 23
I went with my mom who just had a hip surgery. The whole team was very caring, nice and very professional. I did appreciate that the surgeon took the time to explain to me what was wrong with my mom’s arm and what he did to fix it.
mouna khalyat
mouna khalyat
14:37 24 Feb 23
Although I didn’t meet with the doctor, the receptionist, assistant and nurse were great.
Theresa Gaines
Theresa Gaines
13:25 13 Feb 23
Every thing and the process are being done properly ..Terissa you are very Carey ..thank you so much every body are very polite and very professional.. Thank you so much to Dr.Mobley..God blessed you all .🙏🙏🙏👍
Remigio Ruda
Remigio Ruda
03:28 31 Jan 23
Very knowledgeable, personable and professional. I came to Dr. Mobley to correct another surgeons work and I was pleased with the outcome. There is a Hispanic woman that runs things in the O.R.She is great! The whole staff is wonderful and caring.Highly recommend
Lakesha Kingdom
Lakesha Kingdom
15:57 17 Jan 23
I had a wonderful PA take care of me, & the nurses were very sweet. I was happy with my visit
Aurora Anello
Aurora Anello
19:20 10 Jan 23
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Request an Appointment

Schedule an appointment at your nearest American Prostate affiliated center.