Prostate Artery Embolization (PAE) in India

Prostate Artery Embolization (PAE) is a minimally invasive interventional radiology procedure used to treat Benign Prostatic Hyperplasia (BPH) — a common condition in aging men where the prostate gland enlarges and causes urinary difficulties.

The procedure works by blocking the blood flow to the prostate arteries, shrinking the gland and relieving urinary symptoms without the need for major surgery.

Indications for PAE

  • Benign Prostatic Hyperplasia (BPH) with bothersome urinary symptoms

  • Patients unfit for or unwilling to undergo open or transurethral prostate surgery (TURP)

  • Men with enlarged prostates causing obstruction

  • Patients with recurrent urinary tract infections due to BPH

  • Individuals who wish to avoid complications like sexual dysfunction or incontinence associated with traditional surgery

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Symptoms Addressed

  • Frequent urination (especially at night)

  • Weak urine stream or straining to urinate

  • Feeling of incomplete bladder emptying

  • Urgency and urinary leakage

  • Recurrent urinary tract infections due to BPH


Procedure Overview

  1. Pre-procedure Assessment

    • Prostate volume measurement via MRI/CT or ultrasound

    • Blood and urine tests

    • Medical evaluation for suitability of embolization

  2. During the Procedure

    • Performed under local anesthesia with mild sedation

    • A catheter is inserted through the femoral or radial artery

    • Embolic particles are injected into the prostatic arteries, reducing blood supply

    • The prostate gradually shrinks over weeks to months

  3. Post-procedure Care

    • Outpatient or short hospital stay (usually 24 hours)

    • Mild discomfort, frequency, or burning may occur temporarily

    • Follow-up imaging and symptom assessment to monitor improvement


Benefits of Prostate Artery Embolization

  • Minimally invasive, no large incisions

  • Lower risk of complications compared to TURP or open surgery

  • Preserves sexual and urinary function in most cases

  • Quick recovery and return to normal activities

  • Effective for large prostate glands not suitable for traditional surgery


Prostate Artery Embolization Cost in India

Table 1: Average PAE Cost in India

Treatment TypeMinimum Cost (INR)Maximum Cost (INR)Approx. USD Range
Prostate Artery Embolization (PAE)₹2,50,000₹4,50,000$3,010 – $5,420
Pre-procedure Tests & Imaging₹20,000₹50,000$240 – $600
Post-procedure Medications & Care₹10,000₹30,000$120 – $360

Factors Affecting Cost

  1. Hospital infrastructure – Metro city hospitals with advanced cath labs may charge more

  2. Type of embolization particles used – Standard vs newer-generation microspheres

  3. Prostate size and complexity – Larger glands may require longer procedures

  4. Doctor’s expertise – Highly experienced interventional radiologists may have higher fees

  5. Post-procedure hospitalization – Some patients may need overnight observation


Who Should Consider PAE?

  • Men with moderate to severe BPH symptoms not responding to medications

  • Patients seeking a less invasive alternative to prostate surgery

  • Those with high surgical risk due to age or comorbidities

  • Men wishing to preserve sexual and urinary continence functions

  • Candidates advised by urologists or interventional radiologists

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