During your consultation with your doctor, factors such as your health, medical history and vascular condition will be evaluated to determine if endovenous laser treatment is right for you. This treatment method does not work for some types of veins, and certain contraindicating conditions may require further evaluation.
What is Benign Prostatic Hyperplasia (BPH)?
The prostate is an organ of the male reproductive system, normally about the size of a walnut, surrounding the urethra. In older men, the prostate can become enlarged, exerting pressure on the urethra and causing difficulties with urination and other symptoms that can negatively impact one's quality of life.
This condition, called enlarged prostate or Benign Prostatic Hyperplasia (BPH), affects over 50-60% of men in their sixties, 70-80% of men in their seventies, and 90% of men age 80 or older. Although the enlarged tissue in the prostate is non-cancerous, it can obstruct the lower urinary tract and cause symptoms such as:
How is Benign Prostatic Hyperplasia Treated?
In the past, many of the treatments available to men with BPH have been surgical in nature. Methodologies such as TURP (transurethral resection of the prostate) and Prostatectomy require general anesthesia, and thus hospitalization. They also sometimes result in negative side effects, such as incontinence or sexual dysfunction.
At ECCO, we prefer a safer, non-surgical alternative to BPH treatment called Prostate Artery Embolization, or PAE. The procedure is minimally invasive, requires no general anesthesia, and is performed in our office based laboratory on an outpatient basis, so there is no need for hospitalization. PAE has extremely low complication rates, with no reports of negative effects on sexual function. The procedure itself is so gentle that it requires almost no recovery time, and patients often report symptom relief within 2 to 3 weeks.
PAE is considered one of the most technically challenging procedures in Interventional Radiology, and there are only a handful of doctors in the US who can perform the procedure. Dr. Charles Nutting, at ECCO, has performed more of these procedures than anyone in the country. So if you have enlarged prostate symptoms and are looking for the most advanced treatment options available, click the Prostate Artery Embolization link to the right, and learn more about this state-of-the-art procedure and how it is performed at ECCO.
Learn more: Men's Health Specialist explains PAE
Dr Nutting has performed over 400 prostate embolizations, published papers and trains other physicians around the country how to safely perform this clinic procedure.
Prostate Artery Embolization (PAE) is a minimally-invasive procedure used to treat Benign Prostatic Hyperplasia (BPH). Dr. Charles Nutting, one of the co-founders of ECCO, is one of the pioneers of this advanced, technically challenging procedure, and performs it in our office based laboratory.
PAE has many advantages over other treatments for enlarged prostate, and one of them is that it can be performed on an outpatient basis. The endovascular procedure requires no large incisions, no general anesthesia, and no hospitalization. Patients report almost no need for "recovery time," and relief from their negative symptoms occurs in a remarkably short time.
PAE is performed under light sedation. After numbing the area with a local anesthetic, Dr. Nutting inserts a microcatheter into a tiny incision in the femoral artery. Then, using advanced imaging technologies, he guides it to the artery that supplies the prostate with blood. Once the catheter is in place, he inserts small microspheres into the artery to block it, which causes the abnormal growth to shrink, soften, and become absorbed into surrounding tissue.
Am I a Good Candidate for PAE?
The way to find out is to make an appointment for a consultation at ECCO. Most patients are eligible for the procedure, but of course we need to perform a full examination to make sure PAE is the most appropriate treatment to relieve your symptoms. If it's not, we'll tell you.
Is There Recovery Time?
The procedure itself only takes 1-2 hours to complete, plus a couple of hours in the recovery area. There is usually no at-home "recovery time" after PAE, except that we recommend you avoid strenuous activities such as heavy lifting or climbing long flights of stairs for 24 hours. Patients typically report relief from their negative symptoms within 2 to 3 weeks
Enlargement of the prostate is called benign prostatic hyperplasia (BPH). It occurs when the cells of the prostate gland begin to multiply. These additional cells cause your prostate gland to swell, which squeezes the urethra and limits the flow of urine.
BPH is very common. About half of all men between ages 51 and 60 have BPH. Up to 90% of men over age 80 have it.
Doctors aren’t sure exactly what makes this happen. Some think it may have to do with normal hormonal changes as you age, but it’s not clear.
In some cases, in particular where symptoms are mild, BPH requires no treatment. When treatment is necessary, many men will simply require daily medication(s). If this fails to completely treat the symptoms, or if there are signs of damage from BPH, the doctor may recommend endoscopic surgery through the penis or traditional surgery.
In contrast, prostate artery embolization is a minimally invasive outpatient procedure performed through a small needle puncture in the wrist or hip area. Nothing is inserted in the penis!
There are several treatment options for symptomatic BPH depending on severity of the symptoms. Most men start with medications. Some of these have side effects. If the symptoms persist or the patient can’t tolerate the medications, urologic procedures can be performed. TURP is considered the “Gold Standard”. This device is inserted through the penis and the offending portion of the prostate is removed.
Most patients who are candidates for a TURP could also benefit from a less invasive prostate artery embolization procedure (PAE).
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