Who Is a Good Candidate for Prostate Artery Embolization?
Prostate Artery Embolization (PAE) is particularly suited for patients suffering from benign prostatic hyperplasia (BPH), commonly known as an enlarged prostate, who have not responded well to medications or who wish to avoid traditional surgery. Good candidates for PAE are those experiencing moderate to severe urinary symptoms that significantly impact their quality of life. These symptoms may include frequent urination, urgency, difficulty starting urination, or a weak urine stream. Additionally, PAE is an appealing option for patients looking for a less invasive procedure with a potentially lower risk of sexual dysfunction, a common concern with some traditional prostate surgeries.
Patients considering PAE should have realistic expectations about the outcomes and be aware of the procedure's potential risks and benefits. They should also have an anatomy suitable for the procedure, as determined by pre-procedural imaging studies like MRI or CT scans, which help in mapping the blood vessels around the prostate. It is crucial for candidates to be evaluated by an interventional radiologist with experience in PAE to ensure they are suitable for this treatment based on their health status and prostate size. Those with certain conditions, such as prostate cancer or active urinary tract infections, are typically not considered good candidates for this procedure. Lastly, patient willingness to follow post-procedure care instructions and attend follow-up appointments is essential for optimal outcomes.