What PAE is
Prostate artery embolization (PAE) treats benign prostatic hyperplasia (BPH) by reducing blood flow to parts of the prostate. Through a small needle puncture in the wrist or groin, a thin catheter is guided under X-ray into the small arteries that supply the prostate, and tiny particles are released to partially block them. Over the following weeks the prostate softens and shrinks, which can ease urinary symptoms.
Who may be a candidate
- Men with moderate to severe urinary symptoms from BPH
- Men with large prostates
- Men who want to avoid or cannot safely have a procedure through the urethra
- Men who place a high priority on preserving ejaculation and erections
What to expect
PAE is usually an outpatient procedure under local anesthesia and sedation. Many men go home the same day. Temporary pelvic discomfort, burning with urination or more frequent urination for several days is common. Improvement typically develops over weeks to a few months.
Benefits and trade-offs
Studies show PAE can meaningfully improve urinary symptoms with a low rate of sexual side effects. Compared with procedures such as TURP, symptom improvement may be somewhat smaller on average and retreatment may be more likely over time. Dr. Neal Patel reviews these trade-offs with you alongside other options on the enlarged prostate (BPH) page.
Next step
Call 678-344-8900 to schedule a BPH evaluation in Johns Creek, Cumming, Decatur or Braselton.
Preparing for your visit with Dr. Neal Patel
Bring a list of your current medications and supplements, any prior urine, blood or PSA results, and the reports (or discs) from recent imaging. If you can, arrive with a comfortably full bladder, because a urine sample and a bladder scan are often part of the first visit. Write down your main questions so nothing is missed. A family member is welcome to join you. If you prefer Spanish or Korean, let the office know when you book so language support is ready.
Your chart is reviewed before you arrive, and insurance requirements for likely imaging or procedures are checked up front so approvals can move sooner. Before you leave, your orders, prescriptions and follow-up plan are reviewed with you, and you receive education materials tailored to your condition.
At the end of the visit you will receive a written summary in your preferred language that explains what was found, what was ordered and what happens next. Your primary care physician or referring doctor receives a clear update letter with findings, plan and next steps, so everyone caring for you stays informed. Appointments are available at the Johns Creek, Cumming, Decatur and Braselton offices; call 678-344-8900.
Reviewed by Dr. Neal Patel, MD, board-certified urologist. This page is general information and not a substitute for medical advice.