What to Expect After Your Prostate Artery Embolization

If, like 60%-90% of men in their 60s and beyond, you have benign prostatic hyperplasia (BPH), you may be experiencing some annoying symptoms. Slow streaming and dribbling when you urinate are common, as are leaking and a feeling of urgency. 

At Minimally Invasive Medical Group, our team of experts offers advanced treatments like prostate artery embolization (PAE) to help you with these bothersome symptoms. It’s a minimally invasive procedure that uses advanced imaging and a small catheter to reduce blood flow to your enlarged prostate.

If you’re preparing for or recently had PAE, you’re probably wondering what the recovery process entails. Here’s what to expect after the procedure and how to ensure a smooth recovery.

Recovery from prostate artery embolization

Immediately after PAE, you’ll stay in a recovery room for observation so we can monitor your condition. Most people go home the same day or within 24 hours. 

Here’s what to expect as you recover over the next few days and weeks:

Post-procedure symptoms 

Some men experience mild discomfort, called “post-PAE syndrome,” which can include pelvic pain, bladder spasms, nausea, or mild fever. These symptoms are usually temporary and subside within a few days. 

Over-the-counter medications like ibuprofen or acetaminophen can be helpful, but we can prescribe something stronger if needed.

Activity level 

Rest is important during the first 24-48 hours. You should avoid strenuous activities, heavy lifting, or intense exercise. You can resume light daily activities and work within a few days, depending on your comfort and job.

Prostate improvement 

Symptom relief is gradual. You may notice changes within days, but it often takes a few weeks to experience the full benefits as your prostate shrinks.

Tips for a smooth recovery

You can give yourself the best shot at a complication-free recovery by following these tips:

1. Stay hydrated 

Water helps flush out your system and reduces discomfort when you urinate, so drink plenty. Aim for at least 8-10 glasses of water daily.

2. Be proactive about pain 

Don’t wait for post-surgical pain to peak. Get ahead of it with over-the-counter pain relievers, warm compresses, or lukewarm baths.

3. Follow our instructions 

Our post-surgical instructions are your best bet for a smooth recovery. Attend follow-up appointments and follow the medication or activity guidelines we give you.

4. Avoid straining during bowel movements 

If you become constipated, ask us about safe laxatives or stool softeners to reduce pressure on your pelvic area during recovery.

5. Monitor your symptoms 

Keep an eye on any changes, especially fever, intense pain, or unusual discharge from the puncture site.

Wound care tips

PAE involves a small incision in your wrist or groin. To help this area heal:

• Keep the bandage on for 24 hours after the procedure
• Avoid soaking the site in water for at least a week (quick showers are fine)
• Don’t rub or scratch the incision area
• Watch for any signs of infection, such as redness, swelling, or unusual drainage

While complications with PAE are rare, call us if you experience any of the following:

• Persistent or worsening pelvic or urinary pain
• High fever or chills
• Significant bleeding or swelling at the incision site
• Painful urination that doesn’t improve
• Shortness of breath or other unusual symptoms

We can determine which issues you can handle at home and which require an in-person visit.

Benefits to expect after your recovery

The primary goal of PAE is to relieve symptoms, so here’s what you can expect after the procedure:

• A decrease in urinary frequency and urgency
• Fewer interruptions during sleep due to nighttime urination
• Improved urine flow and less strain during urination

Also, our streamlined procedure means no invasive surgery or major side effects like urinary incontinence or sexual dysfunction, which are often associated with other BPH treatments.

Set yourself up for a smooth recovery after PAE by talking with our BPH specialists. Call Minimally Invasive Medical Group in Lake Forest, Mission Viejo, or Irvine, California, or book online.