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Prostate Artery Embolization

An enlarged prostate, shrunk from the inside — no cutting, no hospital stay, function preserved.

What it is

A modern answer to BPH.

Benign prostatic hyperplasia — an enlarged prostate — is one of the most common conditions men face after 50. It brings a weak stream, frequent urination, and waking through the night. For decades the answer was surgery that cut or removed prostate tissue, often with a hospital stay and real trade-offs.

Prostate Artery Embolization (PAE) takes a different path. Through a tiny catheter, the blood supply feeding the enlarged prostate is reduced — and the gland shrinks from the inside. There is no surgical cutting of the prostate, and the procedure is typically completed in under an hour, in the office.

In one case, a patient arrived with a 210cc prostate and severe urinary retention, told elsewhere that open surgery and a 4–5 day hospital stay were his only option. PAE was performed in under an hour. Three months later his prostate had shrunk by nearly 50%, his catheter was gone, and his flow was strong.

At a glance

SettingIn-office, no hospital stay
AnesthesiaModerate sedation — awake-but-asleep
DurationOften under one hour
RecoveryHome the same day, fast return to normal
Best forModerate to very large prostates
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Why patients choose it

The advantages of going minimally invasive.

No surgical cutting

The prostate is never cut or removed — its blood supply is simply reduced so it shrinks naturally.

Function-preserving

PAE is designed to relieve obstruction while preserving urinary and sexual function.

Fast recovery

Most patients go home the same day and return to normal life quickly — no multi-day hospital stay.

Man at home, recovered and comfortable after prostate artery embolization
Is it right for you?

A consultation is the place to find out.

PAE is particularly valuable for men with moderate to very large prostates, men who want to avoid the risks of traditional surgery, and those for whom medication has stopped working.

Whether it's the right choice depends on a proper work-up — imaging, flow testing, and a full picture of your symptoms. That's where care begins.

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Shrink the Prostate book by Dr. David Shusterman
Go deeper

Read the book on PAE.

Dr. Shusterman's book Shrink the Prostate: Why Prostatic Artery Embolization is the Future of BPH Treatment lays out the full protocol — how PAE works, who it's right for, and what to expect — for patients who want the complete picture before deciding.

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Begin care

A urologist who tests thoroughly and treats gently.

Schedule a consultation and start with a complete diagnostic picture — and a treatment plan built around the smallest effective step.

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