Best Foods for Prostate Health: A Comprehensive Guide
Prostatic artery embolization (PAE) is a minimally invasive surgery to relieve lower urinary tract symptoms caused by a condition called benign prostatic hyperplasia (BPH) which is a non-cancerous enlargement of the prostate gland. An enlarged prostate occurs when cells in the prostate gland multiply. This causes the prostate gland to swell, squeezing the urethra (urine tube) and limiting the flow of urine. Enlarged prostate (BPH) does not cause cancer, but it causes symptoms that can affect your quality of life.
The prostate plays a vital role in male fertility. It is a tiny rubbery gland located between the penis and rectum (end part of the large intestine). The prostate gland is responsible for producing a thick, milky fluid that makes up about 30% of semen. This fluid contains enzymes, citric acid, and prostate-specific antigen (PSA), which helps to nourish and protect sperm as it travels through the female reproductive tract. The fluid also helps to neutralize the acidic environment of the vagina, increasing the chances of sperm survival.
An interventional radiologist (IR) performs a prostatic artery embolization (PAE) procedure. These surgeons use X-rays and other imaging techniques to see inside the body and treat conditions without surgery. A PAE procedure takes about an hour or two to complete. Here is how it is done.
STEP 1: Prior to the procedure, the patient may be given a mild sedative to help them relax. They will also be given local anesthesia to numb the area where the catheter will be inserted.
STEP 2: A Foley catheter (a thin tube used to drain urine) will be inserted into your urethra and positioned in your bladder to provide a reference point of the surrounding anatomy.
STEP 3: An X-ray in which dye is injected into the blood vessels to mark the affected blood vessels feeding your prostate (arteriogram).
STEP 4: A solution is injected (microscopic plastic beads) into the arteries that feed the prostate gland. This will block the supply of blood to the gland. *This is achieved by making a quarter-inch hole in the groin (thigh area next to the penis)*.
STEP 5: An Interventional Radiologist (IR) moves the catheter to treat the varicocele on the other side of the prostate gland. (This procedure is done if you have varicoceles on both sides).
NOTE: This procedure does not use general anesthesia and is painless. You can return home the same day requiring a few days to recover.
Initially, an interventional radiologist near me will determine if you are an ideal candidate for PAE. You may be questioned about how often you face any kind of urinary discomfort, its severity, and to what extent that affects your everyday life. A doctor will recommend the following tests to understand the severity of your prostate.
As the prostate enlarges, it may block the urethra causing lower urinary tract symptoms such as:
For some patients, these symptoms interfere with their quality of life thus affecting the way they think, act and feel in their surroundings. A PAE procedure is the best to treat BPH or an enlarged prostate.
The below-listed risk factors are temporary and tend to fade with time. A prostatic artery embolization procedure must be carried out by an experienced, knowledgeable, and trained interventional radiologist. Here’s what you may experience immediately after the procedure.
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A catheter is a tube attached to the urethra to drain urine during the PAE procedure. However, in the majority of cases, this tube will be removed after the PAE procedure. In rare cases, you might require the catheter to be in place after the procedure, but it depends on the individual patient and the extent of the procedure.
No, PAE does not affect fertility, instead, it improves sexual performance and overall quality of life.
The timeline for seeing results after PAE can vary depending on the individual patient and the severity of their BPH symptoms. Some patients may see improvement in their symptoms within a few days to a week after the procedure, while others may take 3 to 6 months to experience the full benefits of the treatment.
The cost of Prostate Artery Embolization (PAE) in India can vary depending on several factors such as the city, hospital, and the complexity of the procedure. Generally, the cost of PAE in India ranges from approximately INR 2,00,000 to INR 4,50,000. However, it's important to note that these are approximate figures and the actual cost may vary. It's advisable to contact specific hospitals or healthcare facilities in your locality to get accurate and up-to-date information on the cost of Prostate Artery Embolization.
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