Prostate Artery Embolization (PAE)

A Minimally Invasive Breakthrough for Enlarged Prostate
If frequent bathroom trips, a weak urine stream, or waking up multiple times at night are running your life, you’re not alone. This all could be from enlarged prostate gland.
An enlarged prostate (BPH) affects nearly half of men over 50—and for many, medications stop working or cause unwanted side effects.
Prostate Artery Embolization (PAE) offers a modern, non-surgical way to find relief.

Globally recognized innovator, Dr. Ram K Gurajala MD, leads the frontier with patented technologies, 40+ pioneering publications, and breakthroughs that redefine cancer and vascular care.

Minimally Invasive – No sexual side effects – Rapid symptom relief – Same-day procedure

🩺 What Is Prostate Artery Embolization (PAE)?

PAE is a minimally invasive procedure performed by an interventional radiologist. Instead of cutting or removing prostate tissue, it works by gently reducing the prostate’s blood supply, allowing the gland to shrink naturally over time. As the prostate shrinks, pressure on the urethra eases—and urine can flow more freely again.

🎯 How PAE Works: Shrinking the Prostate from Within ?

Unlike traditional surgery (like TURP), which involves removing tissue through the urethra, PAE works through the vascular system:

Guided Access: A tiny catheter is inserted into an artery in the wrist or groin.
Precision Navigation: Using advanced real-time imaging (fluoroscopy), Dr. Ram navigates the catheter to the microscopic arteries supplying blood to the prostate.
Embolization: Tiny, biocompatible particles are released into these arteries.
Natural Shrinkage: By reducing blood flow, the prostate gland begins to soften and shrink over several weeks, allowing the urethra to open and urine to flow freely again.
No Stitches: The catheter is removed, and only a small bandage is applied to the pinhole entry site.

👥 Who Is a Candidate for PAE?

PAE is an ideal option for:

Symptomatic Men: Those with moderate to severe BPH symptoms who find medications ineffective or have unwanted side effects.
Surgery Avoidance: Men who wish to avoid invasive surgery or general anesthesia.
Sexual Health Conscious: Men concerned about the sexual side effects (such as retrograde ejaculation or erectile dysfunction) often associated with traditional TURP surgery.
High-Risk Patients: Individuals who may not be candidates for general anesthesia due to other health conditions.

✅ Effectiveness and Recovery

Proven Benefits:

75–90% Symptom Improvement: Most men experience a significant reduction in urinary frequency and urgency.
Preserves Function: PAE has a significantly lower risk of sexual side effects compared to surgical alternatives.
Fast Recovery: Most patients return to normal activities within a few days.
No Hospital Stay: Performed as an outpatient procedure—you go home the same day.

Recovery Timeline:

Day 1: Return home with a small bandage.
Days 1–3: Mild pelvic “pressure” or discomfort may occur as the prostate begins to shrink.
Days 3–7: Most patients resume normal daily activities with minimal restrictions.
Weeks 1–4: Progressive improvement in urinary flow and a decrease in nighttime bathroom trips.
Long-term: Continued symptom relief over months as the prostate gradually reduces in size.

Minimally Invasive – No sexual side effects – Rapid symptom relief – Same-day procedure –

I thought surgery was my only option until I met Dr. Ram Kishore for PAE treatment.

I spent years planning my life around the nearest bathroom. My doctor recommended surgery, but I was worried about the complications. Meeting Dr. Ram Kishore changed everything. The PAE procedure was done through my wrist, I was home for dinner, and within a month, I was sleeping through the night for the first time in years. It’s a complete life-changer.

-Murthy P

Hyderabad

PAE: A two-hour procedure that gives you back ten years of your life

It’s a game-changer for patients struggling with sleepless nights and a life restricted by their prostate.

👉 If you or a loved one in Hyderabad or Chennai is suffering from prostate and exploring alternatives to surgery, consult Dr. Ram Kishore Gurajala at ir4ubyram to see if PAE could be the solution.

Advanced treatments
Personalized approach
Compassionate comfort

Common questions

Frequently asked questions about Prostate Artery Embolization (PAE)

❓ How will Prostate Artery Embolization (PAE) improve my daily life?

For many men, PAE means:

Fewer urgent bathroom trips
Better sleep through the night
Relief without the sexual side effects often linked to surgery

It’s a treatment designed not just to improve symptoms—but to help you get back to living comfortably and confidently.

Less invasive. More control. Real relief.

❓ Does PAE affect sexual function ?

One of the primary advantages of PAE is that it has a very low risk of causing sexual dysfunction or retrograde ejaculation, which are common risks with traditional prostate surgeries.

❓ Is PAE better than medications for BPH ?

PAE is often considered when medications stop working or cause side effects. Unlike daily medicines, PAE treats the underlying cause by shrinking the prostate.

❓ How long does the procedure take ?

The procedure typically takes between 1 and 2 hours. Because it is minimally invasive, you will be in a recovery area for a short time before being discharged the same day.

❓ Will the prostate grow back ?

Clinical studies show that the benefits of PAE are durable, with many patients maintaining symptom relief for 5 years or more.

❓ Is PAE a treatment for prostate cancer ?

No. PAE is specifically designed to treat Benign Prostatic Hyperplasia (BPH). If there is a suspicion of prostate cancer, a different diagnostic and treatment path is required. Dr. Ram will review your PSA levels and imaging to confirm you are a candidate for PAE.

❓ How soon will I feel relief ?

Many patients report reduced pain and improved mobility within a few days to weeks. Results vary based on severity and individual response.

❓ Can PAE be done if my prostate is "too large" for surgery ?

One of the unique benefits of PAE is that it works better on larger prostates (over 80–100 grams). While many surgeons are hesitant to perform traditional TURP on very large glands due to bleeding risks, PAE is safe and effective for them because it doesn't involve cutting.

❓ Is PAE more effective than medication ?

Generally, yes. While medications like Tamsulosin (Flomax) manage symptoms, they don't fix the underlying size of the prostate and can cause side effects like dizziness or low libido. PAE physically reduces the size of the gland, and many men are able to stop taking their BPH medications entirely a few months after the procedure.