Prostate Artery Embolization: How I Do It – Insights from Interventional Radiologist Dr. Rohit Madurkar

Prostate Artery Embolization (PAE) is an advanced, minimally invasive procedure offering relief to men suffering from Benign Prostatic Hyperplasia (BPH). In this blog, renowned interventional radiologist Dr. Rohit Madurkar walks us through the step-by-step process of PAE, explaining its significance, the benefits, and how this cutting-edge procedure has revolutionized the treatment of enlarged prostate.

Understanding Benign Prostatic Hyperplasia (BPH)

BPH affects a significant portion of men, particularly those over 50. An enlarged prostate leads to uncomfortable urinary symptoms, including frequent urination, difficulty starting urination, and the inability to fully empty the bladder. Traditional treatment options often include medication or surgery, but PAE provides a non-surgical alternative with fewer risks and a quicker recovery time.

What is Prostate Artery Embolization (PAE)?

Prostate Artery Embolization is a minimally invasive procedure designed to reduce the size of an enlarged prostate. By blocking specific blood vessels that supply blood to the prostate, PAE effectively causes the prostate to shrink over time, alleviating symptoms associated with BPH. This technique requires precision and expertise, making it an ideal procedure for an experienced interventional radiologist like Dr. Rohit Madurkar.

Step-by-Step: How Dr. Rohit Madurkar Performs PAE

  1. Consultation and Imaging
    Before the procedure, a comprehensive consultation and detailed imaging are necessary. Dr. Rohit Madurkar evaluates the patient’s medical history, symptoms, and the extent of the prostate enlargement through MRI or CT scans and ultrasound. This imaging helps in identifying the blood vessels supplying the prostate, ensuring an accurate and personalized approach.
  2. Preparation for the Procedure
    PAE is performed under local anesthesia, and patients are sedated but remain awake. A small catheter is inserted into the radial artery in the wrist or the femoral artery in the groin. This choice depends on the patient’s anatomy and comfort. Dr. Madurkar ensures a painless and minimally invasive entry point, keeping patient comfort in mind.
  3. Navigating to the Prostate Arteries
    Using advanced imaging guidance like fluoroscopy (real-time X-ray imaging), the catheter is carefully maneuvered through the arteries, directed towards the blood vessels that supply the prostate. This part of the procedure requires the precision and skill of an experienced interventional radiologist to avoid damage to other blood vessels.
  4. Embolization
    Once the catheter is in position, tiny embolic agents (microspheres) are released into the prostate arteries. These agents block the blood flow to the prostate, causing it to shrink gradually. Dr. Madurkar carefully ensures that the right amount of embolic material is used to achieve the desired outcome.
  5. Post-Procedure Care
    After the embolization, the catheter is withdrawn, and a small bandage is applied. There are no surgical incisions, meaning patients can resume normal activities within a day or two. Dr. Madurkar provides a detailed post-procedure plan, including any follow-up imaging, symptom monitoring, and lifestyle recommendations.

Benefits of PAE by Dr. Rohit Madurkar

  • Minimally Invasive: No large incisions, leading to faster recovery and reduced risk of complications.
  • Quick Symptom Relief: Patients experience significant symptom improvement within weeks.
  • Outpatient Procedure: Performed under local anesthesia, PAE doesn’t require hospitalization.
  • Fewer Side Effects: Unlike surgery, PAE has a lower risk of sexual dysfunction or urinary incontinence.

Who is a Candidate for PAE?

Prostate Artery Embolization is ideal for men with moderate to severe symptoms of BPH who prefer a non-surgical treatment option or are not candidates for surgery due to health reasons. Dr. Madurkar conducts a thorough assessment to determine whether PAE is the best solution for each individual.

Why Choose Dr. Rohit Madurkar for PAE?

With his expertise in interventional radiology, Dr. Rohit Madurkar combines cutting-edge technology with personalized patient care. His meticulous approach to PAE has helped numerous men reclaim their quality of life without undergoing traditional surgery.

If you’re considering PAE as a treatment option, Dr. Rohit Madurkar’s educational event is the perfect opportunity to learn more about this innovative procedure and how it can benefit you.

Conclusion

Prostate Artery Embolization, when performed by an expert like Dr. Rohit Madurkar, offers a safe, effective, and minimally invasive solution for managing BPH. Attending Dr. Madurkar’s educational event provides deeper insight into the PAE process and answers to all your questions.

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