Do you urinate too frequently?
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- Enlarged prostate
- Difficulty urinating
- Weak urinary stream
- Waking up at night to urinate
- Inability to urinate
- Difficulty emptying bladder
- Frequent urination
- Blood in urine
- Blood from prostate
Prostatic artery embolization
Prostatic artery embolization is a new approach for the treatment of lower urinary tract symptoms. Through image guidance, an interventional radiologist makes a tiny incision in either the groin or the wrist to insert a catheter into an artery and directs the small tube to blood vessels of the prostate. Once there, the interventional radiologist blocks the blood flow to specific areas of the prostate, depriving those prostate cells of oxygen and resulting in shrinkage of the prostate gland.
Patients who undergo PAE have reported high satisfaction, no urinary incontinence, or sexual side effects. The only external sign that they underwent treatment is a small puncture mark on the groin or wrist. Minor side effects include frequent and/or difficult urination, pelvic pain, blood in the urine, blood in the stool and diarrhea. Most of these side effects resolve on their own within a short time period.
SIR Position Statement on PAE
The Society of Interventional Radiology’s position statement on PAE for BPH notes that PAE, a novel and promising therapy, appears safe and efficacious based on short-term follow-up. Patient satisfaction is high, and repeat intervention rates are low. The PAE procedure is technically challenging, with a possibility of complications if it is not performed meticulously. Interventional radiologists, given their knowledge of arterial anatomy, experience with microcatheter techniques, and expertise in other embolization procedures, are the specialists best suited for the performance of PAE.
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Dr. Adam Farkas
We believe in partnering with you, in order to alleviate your suffering. Our patients’ concerns are our concerns, and we take pride not only in providing excellent outcomes to our patients, but in seeing a smile on their faces.
National referral center for complex vascular disorders
with 3000 annual procedures performed
Please call 02-564-5634 and ask for an appointment in Dr. Farkas’s private clinic in Jerusalem. As part of your evaluation for BPH, you will also need to be evaluated by a urologist in order to become aware of other treatment options for BPH such as surgery, and to assess for other potential causes of urinary problems such as overactive bladder or prostate cancer.
Once you are seen in Dr. Farkas’s clinic and are determined to be a candidate for the “embolization” procedure, the procedure will be scheduled with our scheduling coordinator. Typically an appointment can be given within a few weeks time. We will make every effort to assist in having your procedure covered by kuppat cholim. You will have the option of doing the procedure via “sharap” which allows you to guarantee that Dr. Farkas (and not another physician in the department) performs your procedure. Doing the procedure via “sharap” is generally covered by private insurance and involves a co-payment if done via kuppat cholim. Our scheduling coordinator at 02-655-5014 will be happy to explain the details.
You can expect to have your procedure performed in the morning of your appointed date. The procedure typically takes about 2 hours, during which you will be partially sedated (partially asleep). You will then go home several hours after the procedure, typically in the late afternoon/evening time. You can expect to return to your normal activities within 1-2 days.
No! The PAE procedure is performed by inserting a tiny catheter into a blood vessel in the wrist or the upper leg. It is then navigated to the blood vessels of the prostate and used to close off those blood vessels. One of the advantages of PAE over other options is that the procedure is not performed by inserting instruments through the penis.
You will be asked to follow up in Dr. Farkas’s clinic several months after your procedure. If relief of your urinary symptoms is insufficient, we will be happy to discuss further treatment options.
Benign Prostatic Hyperplasia – Society Interventional Radiology
Benign Prostatic Hyperplasia - Radiologyinfo
Prostate Artery Embolization – Video
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