Prostate embolization is a minimally invasive prostate procedure that treats benign prostatic hyperplasia (BPH), also known as benign prostatic enlargement or prostate enlargement. The prostate surrounds the urethra, normally allowing urine to pass through. As men age, the prostate enlarges, impairing urine flow. A majority of men in their 60s and beyond experience symptoms of BPH. Our experienced South Florida Vascular Associates team performs prostate embolization on-site at the cutting-edge endovascular suite. It’s a same-day procedure, so you can return home afterward.
Understanding BPH
Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland, a condition that affects millions of men worldwide. As men age, the prostate gland can grow larger, leading to the development of benign prostatic tissue. This growth can cause a range of urinary symptoms that significantly impact the quality of life. BPH can become worrisome for patients who are suspicious of having prostate cancer. BPH is incredibly common, with studies showing that about 50% of men in their 60s and up to 80% of men over 70 years old experience some degree of prostatic hyperplasia.
Causes and Risk Factors of an Enlarged Prostate
While the exact cause of BPH isn’t fully understood, several factors are believed to contribute to its development. Hormonal changes, particularly those involving testosterone and dihydrotestosterone (DHT), play a significant role. Genetics also influence the likelihood of developing BPH, especially if there is a family history of the condition. Other risk factors include:
Age: The risk of BPH increases significantly in men over 50 years old.
Family History: Men with relatives who have had BPH are more likely to develop enlarged prostate tissue themselves.
Obesity: Excess body weight is linked to a higher risk of BPH.
Diabetes: Men with diabetes are at an increased risk of developing BPH.
High Blood Pressure: Hypertension is another risk factor associated with BPH.
Understanding these risk factors can help in early identification and management of BPH symptoms.
Receive Expert Care No Matter Where You Are
Traveling to South Florida for vascular treatments like Prostate Artery Embolization, Uterine Fibroid Embolization, Hemorrhoidal Artery Embolization, and Genicular Artery Embolization allows you to access expert care from our renowned vascular specialists, regardless of your location. We offer same-day consultations, and most procedures can be scheduled within a week—making it easier than ever to receive timely, effective care. Our team is dedicated to helping you plan a seamless and comfortable visit to our state-of-the-art facilities in South Florida, ensuring that your medical journey is complemented by a relaxing stay. Whether you’re seeking relief from BPH symptoms or fibroid-related discomfort, we invite you to explore our travel resources to make your visit to South Florida both therapeutic and enjoyable.
Prostate embolization can significantly relieve the problematic symptoms of BPH and is one of the many minimally invasive procedures available. The procedure requires just a tiny needle puncture in the groin or radial area and only intravenous sedation, which is a sharp contrast to surgeries that typically require large incisions, general anesthesia, and significant downtime. Prostate embolization is, in most cases, a more attractive option than procedures such as:
Prostatectomy
TURP
Urolift
REZUM
Aquablation
Some BPH treatments, like transurethral resection of the prostate (TURP), carry an increased risk of sexual side effects such as erectile dysfunction. Prostate embolization has fewer side effects and a lower risk of complications than TURP. Some men may even experience improved sexual function following prostate embolization.
Schedule a Consultation
Up to 90% of men experience benign prostatic hyperplasia (BPH) by the age of 85. BPH can cause issues like urinary urgency and difficulty controlling urination. Fortunately, prostate embolization at South Florida Vascular Associates can help. To learn more about this alternative to TURP surgery and safe prostate embolization techniques, call our Coconut Creek, Palm Beach, and Plantation, Florida offices.
Frequently Asked Questions
What happens during a clinic visit?
During your clinic visit, you will have the opportunity to ask any questions you may have. The provider will evaluate your symptoms and review your medical history to determine if PAE is a suitable treatment for you. A physical exam will be performed, including checks of your heart, lungs, abdomen, and leg pulses. A prostate exam will not be done, as imaging tests like a pelvic CT and/or prostate MRI will provide more detailed information if you choose to be considered for PAE.
Will insurance pay for PAE?
Prostate artery embolization (PAE) is usually covered by Medicare and many insurance plans. Coverage can vary by provider, and some may require prior approval. It’s best to check with your insurance for specific details.
Does PAE hurt?
PAE itself doesn’t cause pain, but mild to moderate pelvic discomfort may last a few days. You may feel warmth during the procedure and receive medication to relax you. Some experience temporary urinary changes and possible blood in urine, semen or stool. Taking a week off post-PAE is recommended for recovery.
Is PAE performed through the penis?
PAE is not performed through the penis. It’s done by inserting a small catheter into the femoral artery in your leg, similar to a heart catheterization. There are no incisions. The penis is not involved unless a catheter is needed to help with urination in severe BPH cases.
Can PAE cause impotence or retrograde ejaculation?
No, those risks are associated with TURP, not PAE. PAE does not cause impotence or retrograde ejaculation, so if you want to avoid these side effects, PAE is a better first option.
Will I experience urine dribbling or incontinence after PAE?
PAE may cause brief urine dribbling for a week or two, but it does not cause long-term incontinence. This risk is much higher with TURP or prostatectomy.
Can PAE be an alternative to prostatectomy for a very large prostate?
Yes. PAE works well for large prostates over 90 grams, avoiding the higher risks of erectile dysfunction and incontinence linked to prostatectomy. It preserves ejaculation and fertility and has no known size limit. In fact, Dr. Julien has performed PAE on prostates larger than 500 grams.
Can PAE help if my main issue is blood in my urine?
Blood in the urine is called hematuria, visible blood is “gross hematuria,” and tiny amounts not changing urine color are “micro hematuria.” If your doctor finds your prostate is causing it, PAE can effectively stop the bleeding.
What Are the Symptoms of Benign Prostatic Hyperplasia (BPH)?
Benign Prostatic Hyperplasia (BPH), also known as an enlarged prostate, is a common condition that affects many men as they age. Common symptoms include:rn•tFrequent urge to urinate, especially at night (nocturia)rn•tDifficulty starting urinationrn•tWeak or interrupted urine streamrn•tStraining to urinatern•tA persistent feeling of incomplete bladder emptyingrnLess commonly, BPH may lead to complications such as:rn•tBlood in the urinern•tUrinary tract infections (UTIs)rn•tBladder stonesrnIf you're experiencing any of these symptoms, it may be time to consider a modern, minimally invasive treatment option.
What Causes BPH?
While the exact cause of BPH isn’t fully understood, several factors increase the risk:rn•tAge: BPH is most common in men over 50.rn•tFamily History: Genetics can play a role.rn•tHealth Conditions: Obesity, diabetes, and high blood pressure are all linked to a higher risk of BPH.rnAs the prostate enlarges, it can press against the urethra and affect bladder function, leading to the symptoms described above.
How Long Does a Prostate Artery Embolization Take?
PAE is a minimally invasive outpatient procedure designed to relieve BPH symptoms without the need for surgery. The procedure is typically completed within 1 to 2 hours, and patients return home the same day. No hospital stay. No general anesthesia. Minimal downtime.
What Should I Avoid After Prostate Artery Embolization?
To ensure a smooth recovery and optimal results, we recommend avoiding:rn•tStrenuous physical activity, including sexual activity, for at least two weeksrn•tHeavy liftingrn•tClimbing stairs for the first few daysrnFollowing these simple guidelines helps reduce the risk of complications and supports faster healing.
When Can I Return to Work After Prostate Artery Embolization?
One of the key advantages of PAE is the rapid recovery time. Most patients can return to work within a week, making this an ideal solution for busy professionals or anyone looking to minimize disruption to their daily routine.
Why Choose Prostate Artery Embolization?
Prostate Artery Embolization offers a safe, effective, and non-surgical alternative to traditional BPH treatments. It avoids the side effects commonly associated with medications and surgery—such as sexual dysfunction or incontinence—and provides long-lasting symptom relief with minimal downtime. If you're ready to take control of your urinary health and regain your quality of life, PAE may be the solution you’ve been looking for. Contact South Florida Vascular Associates today to learn more or schedule your consultation with Dr. William Julien, a leader in minimally invasive prostate care.
Is Prostate Artery Embolization painful?
Most patients report little to no pain during or after the procedure. Mild cramping or pelvic discomfort is possible but typically short-lived and manageable with over-the-counter medication.
Will PAE affect my sexual function?
One of the key advantages of PAE is that it preserves sexual function, unlike some surgical treatments that can lead to erectile dysfunction or retrograde ejaculation.
How soon will I notice symptom relief?
Many patients notice improvement within a few weeks, with continued relief developing over several months as the prostate shrinks and pressure on the urethra decreases.
Is PAE covered by insurance?
In most cases, yes—PAE is recognized by most insurance providers, including Medicare. Our team will assist you with verifying coverage and explaining your benefits.
How does PAE compare to traditional surgery like TURP?
Unlike TURP (transurethral resection of the prostate), PAE is non-surgical, doesn’t require a hospital stay, and carries fewer risks of complications like bleeding, infection, or sexual side effects.
Am I a good candidate for PAE?
If you're suffering from moderate to severe BPH symptoms and want to avoid surgery, PAE may be ideal. A consultation with Dr. William Julien will help determine the best treatment for your specific condition.
“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”
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“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”
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Benign Prostatic Hyperplasia (BPH) affects the bladder neck by causing compression or distortion due to the enlargement of the prostate, particularly in the transitional and periurethral zones. This can obstruct urine flow as the bladder neck fails to fully open during urination. You may benefit from prostate embolization if BPH is causing uncomfortable and bothersome lower urinary tract symptoms such as:
Increased urinary urgency and frequency
Frequent urination during the night
Urinary tract infections
Acute urinary retention
A weak urine stream
Difficulty emptying your bladder
Discomfort during urination
Pushing or straining during urination
Bladder stones
The Prostate Artery Embolization Procedure
During prostatic artery embolization, our team creates a tiny incision in your groin. They use a specialized type of X-ray guidance to locate the specific blood vessels that deliver blood to your prostate gland. Then, they inject many microscopic beads to block part of the blood supplying your prostate gland. The team then moves to the other side of your body to treat the blood vessels supplying that part of your prostate gland. They often use the same incision to treat both halves of your prostate gland.
Prostate Artery Embolization Aftercare
Prostate embolization results usually take a couple of weeks to appear, and symptoms continue to improve over the next three or four months as the prostate steadily shrinks. The procedure won’t eliminate your prostate gland; it merely helps reduce the enlarged prostate tissue to a healthier size. This non-surgical prostate treatment is an excellent option for those seeking relief from frequent urination and effective BPH symptom management.
Schedule a Consultation
Up to 90% of men experience benign prostatic hyperplasia (BPH) by the age of 85. BPH can cause issues like urinary urgency and difficulty controlling urination. Fortunately, prostate embolization at South Florida Vascular Associates can help. To learn more about prostate embolization for BPH, call our Coconut Creek, Palm Beach, and Plantation, Florida offices.
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