Leading Interventional Radiologist in Nairobi
Internationally recognized for advanced expertise in minimally invasive procedures, including:
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Uterine Fibroid Embolization (UFE) for fibroids and adenomyosis
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Transarterial Chemoembolization (TACE) for liver tumors
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Varicocele Embolization
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Prostate Artery Embolization (PAE) for benign prostatic hyperplasia
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Genicular Artery Embolization (GAE) for knee osteoarthritis
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Sclerotherapy for Vascular Malformations
Delivering cutting-edge, image-guided treatments with a global standard of care, tailored to each patient’s needs.
DR NAUSHAD H. KARIM, MBChB, M.MED, FRCR
FELLOWSHIP IN INTERVENTIONAL RADIOLOGY - UBC/VGH
FELLOWSHIP IN INTERVENTIONAL ONCOLOGY - THE CHRISTIES HOSPITAL NHS TRUST
Dr. Naushad Karim - Internationally acclaimed vascular and Interventional Radiologist in Kenya
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INTRODUCTION​
Prostate Artery Embolization (PAE) is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), a condition where the prostate gland becomes enlarged, leading to urinary symptoms such as frequent urination, urgency, and difficulty urinating.
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The procedure involves accessing the arteries that supply blood to the prostate, either through the groin or left wrist. Using a small catheter (tube) and guide wire, the doctor carefully selects the prostate arteries and embolizes them with small particles. This blockage reduces blood flow to the prostate, causing it to shrink and alleviating symptoms.
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PAE is performed under local anesthesia or light sedation, ensuring the patient remains comfortable. Most patients are able to go home the following day, making it a convenient and effective alternative to more invasive surgical options.
FREQUENTLY ASKED QUESTIONS
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What is Prostatic Artery Embolization (PAE)?
PAE is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), a condition where the prostate enlarges and causes symptoms such as frequent urination, difficulty starting urination, and weak urine flow.
During the procedure:
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A catheter is inserted into your femoral artery (at the groin), or your radial artery (at your left wrist), and microspheres (tiny particles) are delivered to the arteries supplying the prostate.
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These microspheres block blood flow, causing the prostate to shrink and relieving symptoms.
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Is Prostatic Artery Embolization (PAE) safe?
PAE is generally considered safe and well-tolerated. However, as with any procedure, there are some risks:
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Common side effects: Bruising at the puncture site, mild pain, and temporary urinary symptoms (like burning during urination).
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Serious complications are rare but can include:
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Infection
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Urinary retention, which may require the use of a catheter.
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Overall, the procedure is minimally invasive with a lower risk compared to traditional surgery.
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What is the recovery like?
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Recovery time: Most patients can return to normal activities within 1-2 days.
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Some may experience mild discomfort, such as a burning sensation when urinating, which usually resolves within a week.
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Pain management: Over-the-counter pain relievers can typically manage discomfort.
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Full symptom relief may take several weeks or months as the prostate gradually shrinks.
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Does PAE affect sexual function?
PAE is generally not associated with sexual dysfunction or erectile dysfunction. In fact, some men report an improvement in sexual function following the procedure.
However, there are small risks:
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Retrograde ejaculation: This occurs when semen flows into the bladder instead of out during ejaculation.
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Blood in the semen: This can be a temporary side effect.
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Who is a good candidate for PAE?
PAE is ideal for men with BPH symptoms who:
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Prefer to avoid surgery.
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Are not candidates for traditional surgery due to other health conditions.
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Have large prostates or need to continue taking blood thinners.
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Want to preserve sexual function.
It is also an option for those concerned about the risks or recovery time of more invasive surgeries.
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How long do the effects of PAE last?
For many men, PAE offers long-lasting symptom relief, with improvements often lasting for several years. However, some patients may experience a recurrence of symptoms over time. In such cases, repeat PAE may be an option.
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What are the potential risks of PAE?
While PAE is generally safe, there are some risks to consider:
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Common risks:
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Bruising at the puncture site.
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Mild pain.
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Temporary urinary symptoms (e.g., burning sensation or blood in urine/semen).
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Less common risks:
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Urinary retention, requiring a catheter.
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Bladder or prostate infection.
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Unintended injection of microspheres into other pelvic organs.
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