INFORMATION FIRST. PRECISION NEXT.TREATMENT LIBRARY / PAE
Prostate Artery Embolization (PAE) in NYC
Explore a minimally invasive approach to enlarged-prostate symptoms, with urology and interventional radiology working together.
Discuss your options ↗David Shusterman, MD · Modern Urologist · Manhattan & Forest Hills
How it works
PAE uses a small arterial catheter to deliver particles into selected vessels supplying the prostate. Reducing that blood supply can shrink the gland. An interventional radiologist performs the image-guided procedure through an artery at the wrist or groin.
Is this the right treatment for you?
Evaluation asks whether benign prostate enlargement explains your symptoms and whether your vascular anatomy is suitable. Urologic assessment and interventional-radiology review serve different, complementary roles.
Information before intervention
Bring your symptoms, medication list and previous imaging or test results. Our aim is to understand the problem before selecting a procedure. We will discuss which additional information would change the decision, what can be assessed in the office and whether another specialist or facility is appropriate.
Recovery and follow-up
Recovery may include pelvic discomfort, urinary irritation and temporary symptom changes. Improvement and follow-up timing vary. Discuss whether a urinary catheter will be needed and how to contact the team after treatment.
What to weigh before deciding
Risks include bleeding or bruising at the access site, infection and urinary symptoms. Discuss contrast, radiation exposure and unintended embolization of nearby tissue with the treating specialist.
Compare the alternatives
Observation and medication come first for many men. If PAE isn't the right fit, Rezūm is the usual alternative; UroLift, which suits only smaller prostates and is now rarely recommended, and prostate surgery are options for a minority. Ask which option best fits your obstruction, bladder function and priorities.
Questions patients ask
Does PAE treat prostate cancer?
PAE for benign prostate enlargement is not a substitute for evaluating suspected prostate cancer. Screening or further investigation may still be needed.
Who performs PAE?
An interventional radiologist performs the arterial procedure. Your urologist evaluates the urinary problem and helps coordinate treatment selection and follow-up.
How is PAE different from Rezūm?
PAE approaches the prostate through its blood vessels; Rezūm delivers water vapor through the urethra. Each requires its own candidacy assessment.
Make your consultation useful
Ask what explains your symptoms, why this option fits your case, what recovery may involve, and how success will be measured. Tell the team about your work, travel, sexual-health priorities and any concerns about a catheter or stent.
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