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Prostate Artery Embolization (PAE) Treatment

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Overview of the Treatment

Prostate Artery Embolization (PAE) is a modern, minimally invasive procedure for enlarged prostate (BPH) that helps men get relief from urinary symptoms without open surgery and with faster recovery.

The procedure is performed in Bangalore by Vascular & Endovascular Specialist, Dr. Sravan, at a centrally located hospital in Basavanagudi, with easy access from areas like Jayanagar, JP Nagar, Banashankari, Wilson Garden and CBD Bangalore.

Key advantages: No large incision, usually no general anesthesia, short hospital stay (often same-day discharge), lower bleeding risk, designed to preserve sexual function.

What Is Prostate Artery Embolization (PAE) Treatment?

Prostate Artery Embolization is an image-guided, catheter-based procedure that shrinks an enlarged prostate by reducing its blood supply.

During the procedure:

  • A tiny pinhole entry is made in the wrist or groin
  • A soft micro-catheter is guided under fluoroscopic (X-ray) imaging into the arteries supplying the prostate
  • Microscopic embolic particles are injected into these arteries
  • Blood flow to the enlarged prostate reduces
  • Over the next few weeks, the prostate gradually shrinks in size, relieving pressure on the urethra

Results: Urine flow improves and symptoms like night-time urination and urgency gradually reduce.

Typical procedure time: 45–90 minutes
Hospital stay: Day-care / short stay in most cases
Return to routine: Often within 24–48 hours, as advised by the doctor.

Medical diagram showing prostate artery embolization PAE procedure with catheter delivering embolic particles to enlarged prostate

Symptoms — When to Suspect Enlarged Prostate (BPH)?

Common BPH-related symptoms that may benefit from evaluation for PAE include:

Frequent urge to urinate, especially at night (nocturia)

Weak urine stream or thin flow

Difficulty starting urination

Feeling of incomplete bladder emptying

Sudden urgency to pass urine, dribbling at the end of urination

Straining while passing urine, burning or discomfort while urinating

Red-Flag Symptoms Requiring Urgent Medical Attention

The following symptoms require immediate medical evaluation:

  • Inability to pass urine (acute urinary retention)
  • Blood in urine
  • High fever with urinary complaints
  • Severe pain or discomfort

Red-flag symptoms require urgent medical attention.

It is important to remember that BPH symptoms vary in severity. Proper urological evaluation is essential.

When Should You Consult a Specialist

Consult a vascular specialist for PAE if you have moderate to severe urinary symptoms not responding to medications, prefer non-surgical options, or have medical conditions making surgery risky.

Fluoroscopic imaging showing prostate artery catheterization for PAE procedure

Why Choose Dr. Sravan for PAE in Bangalore?

PAE is a complex arterial procedure requiring vascular expertise.

Vascular & Endovascular Specialist — PAE requires detailed understanding of pelvic vascular anatomy, precision catheter navigation, experience with micro-catheters and embolic agents

Advanced imaging facility — fluoroscopic (X-ray) guidance, real-time catheter tracking, controlled embolic particle delivery

Central Basavanagudi location — easy access from Jayanagar, JP Nagar, Banashankari, Wilson Garden, CBD Bangalore and surrounding areas

Structured patient-centred care — clear explanation of options, transparent discussion of PAE vs other treatments, planned follow-up tracking symptom improvement

<strong>Why choose Dr. Sravan for PAE treatment in Bangalore?</strong> PAE requires advanced expertise in pelvic vascular anatomy and precision catheter techniques. Dr. Sravan is a <strong>Vascular & Endovascular Specialist</strong> experienced in complex arterial procedures, performing PAE at a centrally located hospital in Basavanagudi, easily accessible from major areas of Bangalore.

What Are the Solutions for Enlarged Prostate (BPH)?

Treatment for BPH is tailored to the severity of symptoms, prostate size, overall health and patient preference.

Lifestyle Modifications & Medications

Lifestyle modifications:

  • Limiting late-night fluid intake
  • Reducing tea, coffee and alcohol
  • Avoiding holding urine for long periods
  • Physical activity and weight management

Medications:

  • Alpha-blockers — relax the smooth muscle in the prostate and bladder neck
  • 5-alpha-reductase inhibitors — help reduce prostate volume over time
  • Combination therapy — used when clinically appropriate

Some patients continue to have significant symptoms or side-effects despite medicines. In such cases, procedural options are considered.

Interventional / Procedural Options

PAE is particularly useful when:

  • A non-surgical approach is desired
  • There are anaesthetic or surgical risks
  • Long-term medicines are not effective or not tolerated
  • There is a preference to preserve sexual function as much as possible

Other procedural options:

  • TURP (Transurethral Resection of the Prostate)
  • Laser prostate surgery
  • Other minimally invasive options (e.g., Urolift — as per urology assessment)

Why PAE is increasingly preferred: Minimally invasive, often performed under local anesthesia with mild sedation, short recovery period, can be considered in patients with multiple comorbidities.

PAE Procedure Approach at Trinity Hospital, Basavanagudi

Prostate Artery Embolization is performed as a day-care or short-stay procedure using advanced fluoroscopic imaging guidance.

Procedure steps:

  • Tiny pinhole entry in wrist or groin under local anesthesia with mild sedation
  • Soft micro-catheter guided under fluoroscopic (X-ray) imaging into prostate arteries
  • Microscopic embolic particles injected to reduce blood flow
  • Prostate gradually shrinks over weeks, relieving urethral pressure

Procedure time: 45–90 minutes
Hospital stay: Day-care / short stay in most cases
Return to routine: Often within 24–48 hours

How is PAE different from TURP or laser prostate surgery? Unlike TURP or laser surgery, PAE does not involve cutting or removing prostate tissue. It is catheter-based, minimally invasive, usually avoids general anesthesia, has a shorter recovery period, and is especially useful for patients with other medical conditions.

PAE Treatment Facility in Basavangudi, Bangalore

At Trinity Hospital and Heart Foundation, Basavangudi, prostate artery embolization is supported by vascular intervention expertise and advanced imaging.

Facility includes:

  • Fluoroscopic (X-ray) imaging suite for real-time catheter guidance
  • Micro-catheter and embolic particle delivery systems
  • Post-procedure monitoring and symptom management
  • Coordination with urology when needed for comprehensive BPH care

Location & accessibility:

  • Central Basavanagudi location with easy access from Jayanagar, JP Nagar, Banashankari, Wilson Garden, CBD Bangalore and surrounding areas
  • Advanced minimally invasive BPH treatment in the heart of the city

Cost & financial support:

  • Transparent cost discussion before procedure
  • Financial planning assistance available
  • Insurance coordination support
Prostate artery embolization PAE fluoroscopic imaging facility at Trinity Hospital Basavangudi Bangalore

Types of Solutions Based on BPH Severity

Mild Symptoms

Occasional night-time urination, slightly reduced urine stream, daily life largely unaffected. Management focus: observation, lifestyle changes, trial of medications. Regular monitoring to assess progression.

Moderate Symptoms

Frequent night-time waking to urinate, noticeable impact on work, sleep and travel, reduced confidence due to urgency or fear of leakage. Possible options: optimised medications, Prostate Artery Embolization (PAE) as minimally invasive procedure, selected endoscopic or laser procedures (as per evaluation).

Severe Symptoms / Complications / Large Prostate

Repeated urinary retention episodes, recurrent urinary infections, significant enlargement on ultrasound or MRI, poor response to medicines. Management options: PAE (if vascular anatomy and clinical evaluation suitable), TURP or other surgical options if PAE not appropriate due to anatomical or technical reasons.

PAE — Minimally Invasive Catheter-Based Option

Prostate Artery Embolization reduces prostate blood supply through micro-catheter delivery of embolic particles. No cutting or tissue removal. Advantages: minimally invasive, local anesthesia with sedation, short hospital stay, lower bleeding risk, designed to preserve sexual function. Suitable when non-surgical approach desired, surgical risks present, or medicines ineffective.

After PAE — Recovery & Symptom Improvement

After prostate artery embolization, gradual symptom improvement occurs as the prostate shrinks over weeks to months.

Post-PAE recovery includes:

  • Most patients discharged same day or after short hospital stay
  • Return to routine activities often within 24–48 hours
  • Symptom improvement is gradual — many patients notice better urine flow within a few weeks
  • Continued improvement over following months as prostate shrinks

When will I start noticing improvement in urinary symptoms after PAE?

Symptom improvement is gradual. Many patients begin to notice better urine flow and reduced urgency within a few weeks, with continued improvement over the following months as the prostate shrinks.

Does PAE affect sexual function? PAE is designed to preserve sexual function. Compared to some surgical treatments, the risk of erectile dysfunction or retrograde ejaculation is generally lower, although individual outcomes may vary.

Patient consultation showing gradual symptom improvement after PAE treatment for enlarged prostate

When to Consider PAE — Patient-Centred Decision Making

PAE may be suitable for men who:

  • Have moderate to severe urinary symptoms due to BPH
  • Do not get adequate relief from medications
  • Prefer a non-surgical option
  • Have medical conditions that make surgery risky
  • Want to preserve sexual function as much as possible

Evaluation includes:

  • Review of urinary symptom severity and impact on quality of life
  • Prostate size assessment (ultrasound or MRI)
  • Discussion of medication response and side-effects
  • Clear explanation of PAE vs other treatment options (TURP, laser surgery)

Financial support available:

  • Transparent cost discussion before procedure
  • Financial planning assistance
  • Insurance coordination support

Dr. Sravan C.P.S - Vascular & Endovascular Specialist

Expert Prostate Artery Embolization & Vascular Care

At Trinity Hospital and Heart Foundation, Basavangudi, prostate artery embolization is led by Dr. Sravan C.P.S with rigorous vascular training, international fellowship experience, and advanced fluoroscopic imaging capabilities.

About Dr. Sravan C.P.S

Vascular & Endovascular Specialist

Trinity Hospital and Heart Foundation, Bangalore

Dr. Sravan C.P.S is a highly experienced Vascular & Endovascular Specialist serving patients in Basavangudi and across Bangalore with a deep commitment to safe, compassionate, and evidence-based care. His practice focuses on disorders of the blood vessels — arteries and veins — using both advanced minimally invasive techniques and established surgical approaches tailored to each individual's needs.

He completed rigorous training in vascular and endovascular surgery, including a fellowship at the National University Hospital, Singapore. He also served as an Assistant Professor of Vascular Surgery at the Sri Jayadeva Institute of Cardiovascular Sciences and Research, contributing to clinical care, education, and research.

In the management of enlarged prostate (BPH), Dr. Sravan follows a structured evaluation process that includes assessment of urinary symptom severity, prostate size imaging (ultrasound, MRI), medication response review, and discussion of all treatment options including lifestyle modifications, medications, and procedural interventions. He believes in tailored treatment based on symptom severity and patient preference — PAE is offered when it provides clear clinical benefit.

For patients requiring prostate artery embolization, Dr. Sravan is experienced in performing precise micro-catheter navigation in pelvic arteries using fluoroscopic (X-ray) guidance — with detailed anatomical knowledge of prostate arterial supply, controlled embolic particle delivery, and post-procedure monitoring for symptom improvement.

Dr. Sravan is known for his clear communication style, helping patients and family members understand PAE procedure and recovery timeline, realistic expectations for symptom improvement, how PAE compares to TURP and laser surgery, and the importance of follow-up to track urinary flow and quality of life improvement.

At Trinity Hospital and Heart Foundation, he works within a multidisciplinary BPH care framework — coordinating with urology when needed, imaging for prostate assessment, and symptom monitoring to ensure each patient receives evidence-based, ethical, and personalised treatment guidance.

Dr. Sravan C.P.S, Vascular & Endovascular Specialist at Trinity Hospital

Frequently Asked Questions About Prostate Artery Embolization (PAE)

Common questions and detailed answers about PAE procedure, benefits, recovery, and when it is appropriate

Prostate Artery Embolization (PAE) is a minimally invasive, image-guided treatment for enlarged prostate (BPH). It works by reducing blood flow to the prostate, causing it to gradually shrink and relieve urinary symptoms—without open surgery.

PAE may be suitable for men who have moderate to severe urinary symptoms due to BPH, those who do not get adequate relief from medications, or patients who prefer a non-surgical option or have medical conditions that make surgery risky.

PAE is done through a tiny pinhole entry in the wrist or groin. Using X-ray guidance, a micro-catheter is advanced into the arteries supplying the prostate, and microscopic particles are injected to reduce blood flow, leading to gradual prostate shrinkage.

PAE is usually performed under local anesthesia with mild sedation. Most patients experience minimal discomfort during and after the procedure, and pain is generally well controlled with simple medications if needed.

The procedure typically takes 45 to 90 minutes. Most patients are discharged the same day or after a short hospital stay, depending on individual recovery and medical advice.

Symptom improvement is gradual. Many patients begin to notice better urine flow and reduced urgency within a few weeks, with continued improvement over the following months as the prostate shrinks.

PAE is designed to preserve sexual function. Compared to some surgical treatments, the risk of erectile dysfunction or retrograde ejaculation is generally lower, although individual outcomes may vary.

Symptoms include frequent night-time urination, weak urine stream, difficulty starting urination, urgency, dribbling, straining, and a feeling of incomplete bladder emptying. Red-flag symptoms like inability to pass urine or blood in urine require urgent medical attention.

Unlike TURP or laser surgery, PAE does not involve cutting or removing prostate tissue. It is catheter-based, minimally invasive, usually avoids general anesthesia, has a shorter recovery period, and is especially useful for patients with other medical conditions.

PAE requires advanced expertise in pelvic vascular anatomy and precision catheter techniques. Dr. Sravan is a Vascular & Endovascular Specialist experienced in complex arterial procedures, performing PAE at a centrally located hospital in Basavanagudi, easily accessible from major areas of Bangalore.

Book Your PAE Consultation at Trinity Hospital, Basavangudi, Bangalore

Suffering from enlarged prostate (BPH) symptoms? Not getting adequate relief from medications? Prefer minimally invasive treatment? Schedule a consultation with Dr. Sravan C.P.S at Trinity Hospital and Heart Foundation, Basavangudi for expert prostate artery embolization evaluation.

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+91 8040136999

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trinityheartfoundation@gmail.com

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Trinity Hospital and Heart Foundation, Basavangudi, Bengaluru, Karnataka