Relieve Urinary Symptoms from Enlarged Prostate — Without Surgery, Without Sexual Side Effects
Prostate Artery Embolisation (PAE) is a minimally invasive procedure that shrinks an enlarged prostate gland, relieving urinary obstruction and associated symptoms — without an operation, without a hospital stay of days, and without the sexual side effects associated with traditional prostate surgery. Performed by Dr. Pradyumna Reddy, Interventional Radiologist, Hyderabad.
Prostate Artery Embolisation (PAE) is a minimally invasive interventional radiology procedure used to treat Benign Prostatic Hyperplasia (BPH) — the medical term for an enlarged prostate gland.
BPH is extremely common in men over 50 and causes a progressive range of urinary symptoms that significantly impact quality of life.
Traditionally, the gold standard surgical treatment for BPH was TURP (Transurethral Resection of the Prostate). PAE offers a clinically validated alternative without major surgery or many of the sexual side effects associated with TURP.
Dr. Pradyumna Reddy performs PAE through a tiny puncture at the wrist or groin using advanced image-guided catheter techniques.
No general anaesthesia, no scalpel, no open operation.
Unlike TURP, retrograde ejaculation is rare after PAE.
Return to normal activities within days, not weeks.
Significant improvement in urinary flow and quality of life.
Most patients are discharged within 24 hours.
Avoid prolonged catheter dependency after surgery.
The gland is not removed and natural anatomy is maintained.
Can be performed in men unsuitable for major surgery.
Symptoms, uroflowmetry, ultrasound, PSA, and MRI may be reviewed before the procedure.
A tiny puncture is made under local anaesthesia. No abdominal incision or stitches.
A microcatheter is guided to the small arteries supplying the prostate gland.
Tiny embolic microspheres reduce blood flow to enlarged prostate tissue.
Over weeks to months, the prostate shrinks and urinary symptoms improve.
PAE is recommended for men with moderate to severe urinary symptoms caused by enlarged prostate (BPH).
It is especially useful for patients who wish to avoid TURP surgery or are high-risk surgical candidates.
Compare minimally invasive PAE with traditional prostate surgery.
| Feature | PAE | TURP (Surgery) |
|---|---|---|
| Surgical Incision | ✔ None | Transurethral |
| General Anaesthesia | ✔ Not required | Required |
| Retrograde Ejaculation | ✔ Rare | Common (50–70%) |
| Erectile Dysfunction Risk | ✔ Very low | Present |
| Hospital Stay | ✔ 1 day | 2–3 days |
| Recovery Time | ✔ 3–5 days | 2–4 weeks |
| Catheter After Procedure | ✔ Short-term only | Required 1–3 days |
| Prostate Preserved | ✔ Yes | Partially resected |
| Suitable for Large Prostates | ✔ Yes | Limited |
| High-Risk Patients | ✔ Suitable | Increased risk |
Observation and discharge within 24 hours.
Mild urinary irritation may temporarily increase.
Urinary flow improves and energy returns.
Peak benefit achieved with prostate shrinkage.
Dr. Pradyumna Reddy is an Interventional Radiologist in Hyderabad with subspecialty expertise in prostate artery embolisation.
PAE requires precise microcatheter navigation through complex arterial anatomy — a core skill of interventional radiology.
PAE can help — without surgery, without sexual side effects, and without weeks of recovery.