Prostate Artery Embolisation
is essentially an enlarged prostate gland. It is a very common condition in older men. By the age
of 70, approximately 80% of men have an enlarged prostate. As the prostate enlarges, the layer
of tissue around it stops it from expanding, which causes the gland to press against the urethra
(the passage through which urine flows).
What are the symptoms?
- weak urine flow
- hesitancy in passing urine
- sensation that the bladder is not empty after passing urine
- increased frequency in passing urine
What is prostate embolisation?
blood to the prostate. The procedure is performed under local anaesthetic. During the
procedure, a radiologist uses an x-ray camera to guide the delivery of small particles to block
the prostate arteries. The small particles and contrast dye (liquid used to make injuries or
diseases visible on scans) are injected through a thin, flexible tube called a catheter.
What are the benefits of prostate embolisation?
What are the risks of having prostate embolisation?
are some risks.
- Any procedure that involves placement of a catheter inside a blood vessel (artery) carries certain risks. These risks include damage to the blood vessel and bruising or bleeding at the puncture site. When performed by an experienced radiologist, the chances of any of these events occurring are very small.
- There is a small risk of infection, but this can usually be treated with antibiotics.
- Very rarely there is a chance that small particles can lodge in the wrong place and deprive normal tissue of its oxygen supply. In an attempt to avoid these complications, the doctors pay close attention to the pattern of the blood vessels in the pelvis, noting that the path of the vessels can be different in each individual. Despite this there is a very small risk of injury to the bladder, rectum and genitals because of their close proximity to the prostate.
- Occasionally patients may have an allergic reaction to the x-ray contrast dye used during prostate embolisation. These episodes range from mild itching to severe reactions that can affect breathing or blood pressure. Patients undergoing prostate embolisation are carefully monitored during the procedure, so that any allergic reaction can be detected immediately and treated by the doctors.
- There is the possibility that the procedure will fail due to an inability to embolise the arteries completely or a failure of response to the treatment.