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Prostatic artery embolization (PAE, or prostate artery embolisation) is a non-surgical technique for treatment of benign prostatic hyperplasia (BPH). [1]The procedure involves blocking the blood flow of small branches of the prostatic arteries using microparticles injected via a small catheter, [2] to decrease the size of the prostate gland to reduce lower urinary tract symptoms.
The treatment involves inserting a special microwave urinary catheter into the hyperplastic prostatic urethra. The microwave antenna within the catheter then emits microwaves to heat and destroy the surrounding prostatic tissue. [citation needed] The procedure can take from 30 minutes to one hour and is well tolerated by patients.
As of 2019, about 94 million men aged 40 years and older are affected globally. [3] BPH typically begins after the age of 40. [1] The prevalence of clinically diagnosed BPH peaks at 24% in men aged 75–79 years. [3] Based on autopsy studies, half of males aged 50 and over are affected, and this figure climbs to 80% after the age of 80. [3]
'I'm a Urologist Who's Been Studying Prostate Health for More Than 25 Years—Here Are the 5 Things I Tell Men With an Enlarged Prostate to Do' Emily Laurence April 14, 2024 at 7:25 PM
prostate – gland of the male reproductive system; prostate cancer – male reproductive organ cancer; benign prostatic hyperplasia – noncancerous increase in size of the prostate gland; urinary retention – inability to completely empty the bladder; lower urinary tract symptoms – group of clinical symptoms
If medical treatment does not reduce a patient's urinary symptoms, a TURP may be considered following a careful examination of the prostate or bladder through a cystoscope. If TURP is contraindicated, a urologist may consider a simple prostatectomy, in and out catheters, or a supra-pubic catheter to help a patient void urine effectively. [3]
A lot of men do not seek care when they start to have urinary issues, but that can be the earliest sign of prostate problems,” says Laura Purdy, M.D., a board-certified family medicine physician ...
Coudé (French for elbowed) catheters have a 45° bend at the tip that facilitates easier passage through an enlarged prostate. Councill tip catheters [5] have a small hole at the tip so they can be passed over a wire. Three-way, or triple lumen catheters have a third channel used to infuse sterile saline or another irrigating solution.