How do you select patients for prostatic artery embolization over standard surgical options for BPH (benign prostatic hyperplasia)?

Assuming that the patient is proceeding with prostate artery embolization (PAE) after failed medical management, choosing PAE depends on a few factors:

1. Patient's prostate characteristics: size, shape, and whether there is bleeding related to the patient's prostate
2. Patient comorbidities: PAE is les...

I am fortunate to work at an institution that has a robust prostate artery embolization (PAE) program history. I will usually include it in my treatment option discussion for any patient with symptomatic lower urinary tract symptoms with a larger documented prostate volume, as our team has not obser...

Ideally, patients should be made aware of multiple treatment options prior to selecting an intervention. PAE being one of the many. Since it can be an overwhelming discussion, I commonly tell patients about them being 3 "categories" of surgical options. Minimally invasive procedures (where PAE fits)...