The Urology Place

Prostate Artery Embolization (PAE) in San Antonio, TX

Advanced, Minimally Invasive Treatment for Enlarged Prostate

If you're dealing with frequent urination, a weak stream, or waking up multiple times at night, you may be experiencing symptoms of benign prostatic hyperplasia (BPH), a common condition as men age.

At The Urology Place, we offer Prostate Artery Embolization (PAE), a non-surgical, outpatient treatment designed to shrink the prostate and relieve symptoms without the risks of traditional surgery.

What is PAE?

PAE is a minimally invasive procedure performed using advanced imaging. Instead of removing prostate tissue, PAE:

  • Reduces blood flow to the prostate
  • Causes the prostate to shrink naturally
  • Improves urinary symptoms over time

No incisions. No hospital stay. No general anesthesia.

Peaceful outdoor setting suggesting recovery and quality of life

Why Patients Choose PAE at The Urology Place

  • Minimally invasive alternative to surgery
  • Faster recovery (days instead of weeks)
  • Lower risk of sexual side effects
  • Effective for larger prostates
  • Performed with advanced imaging precision

Am I a Candidate for PAE?

You may be a good candidate if you:

  • Have moderate to severe urinary symptoms
  • Are exploring alternatives to surgery such as TURP
  • Have not had success with medications
  • Prefer a minimally invasive option
  • Have a larger prostate

Common symptoms include:

  • Frequent urination, especially at night
  • Weak or slow urine stream
  • Difficulty starting urination
  • Feeling like your bladder is not fully empty

How the Procedure Works

A small catheter is inserted through the wrist or groin and guided to the prostate arteries using advanced imaging. Tiny particles are then injected to reduce blood flow, allowing the prostate to gradually shrink. The procedure typically takes 1 to 2 hours, is performed in an outpatient setting, and uses local anesthesia with light sedation.

Recovery and Results

Most patients go home the same day. You may experience mild pelvic discomfort for a few days along with temporary urinary urgency or frequency. Most individuals are able to return to normal activities within 1 to 3 days. Symptom improvement typically begins within a few weeks and continues to improve over the course of 2 to 3 months.

PAE Compared to Surgical Options

Both PAE and surgical procedures, such as TURP, are effective treatment options for BPH, each offering unique benefits depending on the patient's individual condition. The most appropriate approach will depend on several factors, including the severity of your symptoms, prostate size, medical history, and overall health. To determine whether PAE is the right option for you, we recommend scheduling a consultation with Dr. Kella, who can provide a thorough evaluation and guide you toward the treatment plan that best fits your needs.

Scheduling Information

To schedule your consultation with Dr. Kella: Please call 210-617-3670 and ask to speak with the PAE scheduling team, or select the surgery line when prompted. If the department is unavailable, please dial extension 107, 103, or leave a voicemail.

Contact Us For Prostatic Artery Embolization (PAE)

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