How To Treat Your Prostate Without Surgery?

Prostate problems can be a source of immense discomfort for many men, impacting their quality of life significantly. Enlarged prostates can lead to urinary issues, and the search for effective treatment options is a common concern.

I am Dr. Dharav Kheradia,  an Interventional Neuro Radiologist. I am often asked about the alternatives to traditional surgical approaches for prostate growth. In this comprehensive guide, we will explore two non-surgical treatments for prostate growth: Prostate Artery Embolization (PAE) and Transurethral Resection of the Prostate (TURP).

Both, Prostate Artery Embolization (PAE) and Transurethral Resection of the Prostate (TURP) effectively target and alleviate urinary problems by addressing the underlying issue of excess prostate tissue restoring normal urinary function and alleviating associated symptoms.

Let’s delve into the world of prostate treatment and understand which option might be best for you.

PAE: A Minimally Invasive Approach

Prostate Artery Embolization (PAE) is a cutting-edge, minimally invasive procedure that has gained popularity in recent years. This minimally invasive procedure involves blocking the arteries that supply blood to the enlarged prostate, causing it to shrink.

PAE can be an attractive option for several reasons:

• No Surgery, No Incisions: Unlike traditional surgical methods, PAE doesn’t involve any surgical incisions. Instead, it is performed through a tiny catheter inserted into the groin, making it less invasive and reducing the risk of infection.

• Prostate Size Flexibility: PAE is effective for prostates of various sizes. Whether your prostate is too large or too small, PAE can still provide relief from symptoms.

• Fewer Complications: The risks associated with PAE are relatively low compared to surgical options. Complications such as bleeding, infection, or anesthesia-related issues are significantly reduced.

• Preservation of Sexual Function: PAE has been shown to have a lower impact on sexual function compared to surgical methods like TURP. Specifically, the ejaculatory function is less likely to be affected, making it a preferred choice for those concerned about maintaining their sexual satisfaction.

• Minimal Blood Loss: PAE ensures minimal blood loss during the procedure, eliminating the need for a blood transfusion and reducing associated risks.

• Cosmetically Favorable: The procedure leaves no visible surgical scars, as it is performed through a small incision in the groin region, ensuring a cosmetically favourable outcome.

• Swift Recovery and Early Activity: PAE facilitates a faster recovery process, allowing patients to resume normal activities at an earlier stage compared to traditional surgical interventions.

• Mild Sedation, No General Anesthesia: PAE is performed with mild sedation, eliminating the need for general anaesthesia and its associated risks.

• Cost-Effective: PAE proves to be a cost-effective alternative to surgical procedures, making it a financially viable choice for patients.

• High Success Rate: With an overall success rate exceeding 98%, PAE demonstrates its effectiveness in treating an enlarged prostate.

TURP: The Traditional Surgical Approach

Transurethral Resection of the Prostate (TURP) has been a long-standing standard for treating an enlarged prostate. It involves the removal of excess prostate tissue to relieve urinary symptoms.

Here are the key points to consider when exploring TURP:

• Effective Symptom Relief: TURP has a long history of successfully relieving urinary symptoms. If you’re looking for a fast and effective way to address your prostate issues, TURP might be the right choice.

• Surgical Procedure: TURP is a surgical procedure that requires an incision in the urethra, through which the excess prostate tissue is removed. Recovery time can vary, and some patients may experience post-operative discomfort and side effects.

• Long-term Outcomes: While TURP provides quick relief, it’s important to consider the long-term outcomes. Some patients may experience sexual side effects, and there is a risk of recurrence of prostate symptoms over time.

• Cost and Availability: The cost of TURP can be higher due to hospitalization and the need for specialized equipment. It is widely available and covered by insurance, but costs can be a factor to consider.

How Doctors Choose Between PAE and TURP

Your doctor’s recommendation is crucial in deciding between PAE and TURP. Several factors influence this decision:

• Prostate Size: PAE is a versatile option, suitable for prostates of all sizes. In contrast, TURP may be less effective for very large or very small enlarged prostate tissue. 

• Comorbidities and Risk Factors: If you have other medical conditions or are at high risk of complications such as bleeding, infection, or anesthesia-related issues, PAE might be the safer choice due to its lower invasiveness.

• Sexual Function: If preserving sexual function is a priority for you, PAE offers a lower risk of affecting sexual function, especially ejaculatory function. It does not lead to sexual dysfunction. 

• Cost and Availability: PAE is generally more cost-effective, but its availability may vary. Few interventional radiologists like Dr. Dharav, have experience in it. TURP, on the other hand, is more expensive, widely available and often covered by insurance.

• Patient Preference: Your personal preferences and expectations are paramount. Some patients may prioritize quick symptom relief and are willing to accept the potential risks of TURP. Others may prefer a less invasive approach, such as PAE, for a more conservative treatment.

Comparison: PAE vs. TURP

Let’s take a closer look at how PAE and TURP compare:

• Effectiveness: Both PAE and TURP are effective at relieving urinary symptoms. However, PAE’s effectiveness remains consistent across a wide range of prostate sizes, whereas TURP may have limitations for very large or small prostates.

• Safety: PAE is associated with fewer complications and a lower risk of affecting sexual function. TURP has a faster recovery time but carries a higher risk of side effects and potential impact on sexual function. Also, in the case of TURP, there is a risk of heavy bleeding even a few days after surgery. 

• Convenience: PAE is less invasive, typically performed on an outpatient basis, and offers a shorter recovery time. TURP requires hospitalization and may lead to a longer recovery period.

• Cost: PAE is more cost-effective due to fewer hospitalization and equipment expenses. TURP can be more expensive, but it is commonly covered by insurance.

Making the Right Choice

The prostate is the most common condition and if you are having moderate symptoms, generally it can be managed with medicines and other medical treatments. However, other treatments come into light only when the prostate problem increases. In the world of prostate treatment, both PAE and TURP offer unique advantages.

Dr. Dharav Kheradia, an Interventional NeuroRadiologist, understands the significance of choosing the right option tailored to your needs. The decision ultimately depends on various factors, including your prostate size, comorbidities, sexual function, cost considerations, and personal preferences.

Feel free to contact me for personalized guidance and expert advice on the best prostate treatment for your unique situation. I’m here to help you make an informed decision that will improve your quality of life.

Thank you for taking the time to explore the world of non-surgical prostate treatment with us. If you found this guide helpful, please share it with others who may benefit from the information provided.

Your well-being is our priority, and we’re here to support you in your journey to better prostate health.