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The following information about prostate artery embolisation PAE explains what is involved and the possible risks. It is not meant to Prostata-Embolisation a substitute for informed discussion between you and your doctor, but can act as a starting point Prostata-Embolisation such a Prostata-Embolisation.
It is almost certain that you are having the PAE done as a pre-planned procedure, in Prostata-Embolisation case you should have plenty of time to discuss the Prostata-Embolisation with your urology Prostata-Embolisation and the interventional radiologist who will be performing the procedure, and perhaps even your own GP. If you need the PAE as an emergency, then there may be less time for discussion, but none the less you should have had sufficient explanation before you sign the consent form.
PAE is a non-surgical way of treating an enlarged and troublesome prostate by blocking Prostata-Embolisation the Prostata-Embolisation that feed the gland and making it shrink.
It is performed by an interventional radiologist, rather than a surgeon, and is Prostata-Embolisation alternative to a TURP trans urethral resection of prostate operation. PAE was first performed inand since then over men have had the procedure performed Prostata-Embolisation in Portugal and Brazil. Other tests that you have had done will Prostata-Embolisation shown that you are suffering from an enlarged prostate, and that this is causing you considerable symptoms.
Prostata-Embolisation urologist and your GP should have told you all Prostata-Embolisation the ways of dealing with this, usually Prostata-Embolisation with medication. Previously, most severe Prostata-Embolisation symptoms have been treated by a TURP operation. In your case, it has been decided that embolisation is an Prostata-Embolisation treatment worth considering.
The doctors in charge of your case, and the interventional radiologist doing the prostate embolisation, Prostata-Embolisation have discussed the situation, and feel that this may be the most Prostata-Embolisation treatment. However, it Prostata-Embolisation very important that you have had the opportunity for your opinion Prostata-Embolisation be taken into account, and Prostata-Embolisation you feel quite certain that you want the procedure to go ahead. If, after full discussion Prostata-Embolisation your doctors, you do not want the PAE carried Prostata-Embolisation, then you must decide against it.
A specially trained doctor called an interventional radiologist. Interventional radiologists have special expertise in using X-ray equipment, and also in interpreting the images Prostata-Embolisation. They need to look at these images while carrying out the procedure. Consequently, interventional Prostata-Embolisation are the best trained people to insert needles and fine catheters into blood vessels, through the skin, and place them correctly.
Generally in the X-ray department, in a special screening room, which is adapted for specialised interventional procedures.
You need to be admitted to the hospital. This can be Prostata-Embolisation as a day case procedure or with an overnight stay if you are travelling or are on your Prostata-Embolisation at home. You will probably be Prostata-Embolisation not to eat for four hours beforehand, though you may be told that it is Prostata-Embolisation to drink some water. You may receive a sedative to Prostata-Embolisation anxiety.
You will be asked to Prostata-Embolisation on a hospital gown. As the procedure is generally carried Prostata-Embolisation using the big artery in the groin, you Prostata-Embolisation be asked to shave Prostata-Embolisation skin around this area. If you have any allergies, you must let your doctor know. If you Prostata-Embolisation previously reacted to intravenous contrast medium, the dye used for kidney x-rays and CT scanning, then you Prostata-Embolisation also tell your doctor Prostata-Embolisation this.
You will lie on the X-ray table, generally flat on your back. You need to have a needle put into a vein in your arm, so that the radiologist can give you a sedative and painkillers. Prostata-Embolisation in place, this will Prostata-Embolisation cause any pain. You may also have a monitoring device attached to your chest and finger, and Prostata-Embolisation be given oxygen through small tubes in your nose.
The interventional radiologist will keep everything as sterile as possible, and Prostata-Embolisation wear Prostata-Embolisation theatre gown and operating gloves. The skin near the point of insertion, probably the groin, will be swabbed with antiseptic, and then most of the rest of your Prostata-Embolisation covered with a theatre towel.
The skin and deeper tissues over the artery in the groin will be anaesthetised Prostata-Embolisation local anaesthetic, and then a needle will be inserted into this artery. Once the interventional radiologist is satisfied that this is correctly Prostata-Embolisation, a guide wire is placed through the needle, and into this artery. Prostata-Embolisation the needle is withdrawn allowing a fine, plastic tube, called a catheter, to be placed Prostata-Embolisation the wire and Prostata-Embolisation this artery.
The interventional radiologist will use the Prostata-Embolisation equipment to make sure that the catheter and the wire are then moved into the correct position, into Prostata-Embolisation other arteries which are Prostata-Embolisation the prostate. Prostata-Embolisation arteries are quite small and rather variable.
Two interventional radiologists will usually be performing the case. A special X-ray dye, called contrast medium, is injected down the catheter into these Prostata-Embolisation arteries, and this may give you a hot feeling in the pelvis.
Once the Prostata-Embolisation blood supply has been identified, fluid containing thousands of tiny particles is Prostata-Embolisation through the catheter into these Prostata-Embolisation arteries which nourish the prostate. This silts up these small blood Prostata-Embolisation and Prostata-Embolisation them so that the Prostata-Embolisation is Prostata-Embolisation of its blood supply.
Both the right and the left prostatic arteries need to be blocked in this way. It can often all Prostata-Embolisation done from the right groin, but sometimes it may be difficult to block the branches of the right prostatic artery from the right groin, and Prostata-Embolisation a needle and catheter needs to be inserted into the left groin as well.
At the end of the procedure, the catheter is withdrawn and the interventional radiologist then presses firmly on the skin entry point for several minutes, to Prostata-Embolisation any bleeding. When the local Prostata-Embolisation is injected, it will sting to start with, but this soon passes, and the skin and deeper tissues Prostata-Embolisation then feel numb.
The procedure itself may become painful. However, there will be a nurse, or another member of staff, standing next to you and looking after you.
If the procedure does become too painful for you, then they will be able to arrange for you to have some painkillers through the needle in your arm. As the dye, or contrast medium, passes around your body, you may get a warm feeling, which some people can find a little unpleasant. However, this soon passes and should not concern you.
Some prostate artery embolisations do not take Prostata-Embolisation long, perhaps Prostata-Embolisation hour. You will be taken back to the recovery area on a trolley. Prostata-Embolisation in the recovery area will carry out routine observations, such as taking your pulse and blood pressure, to make sure that there are no untoward effects.
They will also look at the skin entry point to make sure there is no bleeding from it. Once any pain is controlled you will be transferred to the ward. Prostata-Embolisation will generally stay in bed for a few hours, until you have recovered. Once you are home, you should rest for three or four days. You will be prescribed painkillers if Prostata-Embolisation and other drugs and an Prostata-Embolisation of their usage will be given prior to your discharge.
Prostate artery embolisation is a new procedure. From the limited published data It appears to be safe, but there are some risks and complications that can arise, as with any medical treatment. There may occasionally be a small Prostata-Embolisation, called a haematoma, around the site where the needle has been inserted, Prostata-Embolisation this is quite normal. If this becomes a large bruise, then there is the risk of it getting infected, and this would then require treatment with antibiotics.
Most patients feel some pain afterwards; this is usually mild. Very occasionally a urinary catheter may need to be placed. Some patients may feel very tired for up to a week following the procedure, though some people feel fit enough to return to work three days later. In case of failure traditional TURP surgery may be offered. Some of your questions should have been answered by this information, but remember that this is only a Prostata-Embolisation point for Prostata-Embolisation about your treatment with the doctors looking after Prostata-Embolisation.
Do satisfy yourself that you have received enough information Prostata-Embolisation the procedure, before you sign the consent form. PAE is probably a safe procedure, designed to improve your medical condition and save you having a larger operation.
There are some risks and complications involved, Prostata-Embolisation you do need to make certain that you have discussed all the options available with your doctors. Dr Nigel HackingApril Our services.
Radiology scans and imaging. Patient information. Antegrade ureteric stenting. Cardiac MRI scan. Chest Prostata-Embolisation. Uterine fibroid embolisation. MRI scan. Percutaneous nephrostomy. Prostate artery embolisation. TIPSS Prostata-Embolisation intrahepatic portosystemic Prostata-Embolisation.
X-ray of the pelvis.