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Prostate Artery Embolization (PAE)

Benign Prostatic Hyperplasia (BPH)

Prostate artery embolization (PAE) is a minimally invasive treatment that helps improve lower urinary tract symptoms caused by a Benign Prostatic Hyperplasia (BPH). 

PAE
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Prostate Embolisation

Prostate Embolisation

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Prostate Artery Embolization (PAE) - Patient Testimonial

Prostate Artery Embolization (PAE) - Patient Testimonial

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Video 5-Dr. Piechowiak-PAE-IR Branding v1

Video 5-Dr. Piechowiak-PAE-IR Branding v1

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Urolift

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Benign Prostatic Hyperplasia

Prostatic Artery Embolization 

Prostatic artery embolization (PAE) is a minimally invasive treatment that helps improve lower urinary tract symptoms caused by a Benign Prostatic Hyperplasia (BPH)

Procedural Details

PAE is performed by an Interventional Radiologist through a small catheter inserted into the artery in your wrist or groin. The interventional radiologist will then guide the catheter into the vessels that supply blood to your prostate.

Tiny round microspheres (particles) are injected through the catheter and into the blood vessels that feed your prostate to reduce its blood supply

 

Following this procedure, the prostate will begin to shrink, relieving and improving symptoms usually within days of the procedure

What are the advantages of PAE? 
  • No surgical incision or device inserted into the urethra

  • Performed in an outpatient setting under  “twilight sleep” with no general anesthesia

  • Painless procedure lasting approximately 1 hour

  • Very low complication rate and no reports of impotence or incontinence after PAE

  • Symptom improvement occurs 2-3 weeks after the procedure

  • Return to full activity within one week

By the Numbers
  • As many as 14 million men in the United States have symptoms of BPH

  • 80-90% effective in the reduction of symptoms

  • 5-7 years durability for relief of symptoms

  • By age 60, 50% of men will have some signs of BPH

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Benign Prostatic Hyperplasia

Prostatic Artery Embolization 

Prostatic artery embolization (PAE) is a minimally invasive treatment that helps improve lower urinary tract symptoms caused by a Benign Prostatic Hyperplasia (BPH)

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Aquablation

Benign Prostatic Hyperplasia (BPH)

Aquablation is a robotically-assisted water pressure mediated treatment that helps improve lower urinary tract symptoms caused by a Benign Prostatic Hyperplasia (BPH). 

Aqua
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Aquablation Therapy Step 2 - Removing the Prostate Tissue

Aquablation Therapy Step 2 - Removing the Prostate Tissue

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Enlarged Prostate? Expert Dr. Sandeep Bagla Answers the Most-Asked Questions About BPH

Enlarged Prostate? Expert Dr. Sandeep Bagla Answers the Most-Asked Questions About BPH

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Aquablation for Enlarged Prostate: Dr. Inderjit Singh Explains All About This BPH Treatment

Aquablation for Enlarged Prostate: Dr. Inderjit Singh Explains All About This BPH Treatment

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Procedural Details

Aquablation therapy is a treatment for an enlarged prostate or BPH. It is performed with robotic assistance and utilizes water power to improve the caliber of the prostatic urethra. This technology allows for the resection of prostatic tissue that may be causing your symptoms. No incision is made as is performed in open surgery, and the prostate is reached through the urethra/penis.

During this procedure, a camera is often utilized in conjunction with ultrasound to provide real-time imaging of the prostate. It offers precise, consistent and predictable results for prostates of varying sizes. This treatment offers a very low complication rate of incontinence, ejaculatory dysfunction and erectile dysfunction. We provide comprehensive men's health care.

What are the advantages of Combination Therapy? 
Combo Infographic.tiff
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Urolift

Benign Prostatic Hyperplasia (BPH)

Urolift utilizes tiny metallic implants which hold open the prostatic urethra which is obstructing or blocking urine flow

UroLift® System for BPH Procedure Animation
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Procedural Details

The urolift treatment is performed on an outpatient basis and utilizes tiny metallic implants which hold open the prostatic urethra which is obstructing or blocking urine flow. The device is placed through the obstructed urethra to access the large prostate and may provide a fast and reliable symptom relief by opening the obstructed urethra.

 

This treatment has a better risk profile than typical surgical procedures (TURP) that may have serious complications in a long painful recovery. It is most appropriately performed in prostate glands that are less than 80 g and those without an enlarged median lobe.

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Rezum

Benign Prostatic Hyperplasia (BPH)

Rezum is a steam based treatment performed via the urethra which delivers energy to the prostate tissue causing it to resorb.

How does Rezūm Water Vapor Therapy work?
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Procedural Details

Rezum Water Vapor therapy is an office based procedure which utilizes the natural energy stored in water vapor or steam to remove excess prostatic tissue that is pressing on the urethra and obstructing urinary flow. The prostatic tissue was accessed through the urethra/penis. The energy is delivered into the prostatic tissue which then subsequently is reabsorbed after treatment. This allows for the urethra to open and allow better passage of urine, reducing symptoms from an enlarged prostate.

  • What Happens During The Aquablation Procedure?
    Aquablation therapy is performed in a hospital. You will be under anesthesia for the entire procedure. The procedure typically takes less than an hour and involves an overnight stay. There are two key steps to the procedure—creating a surgical map and removing the prostate tissue.
  • What Happens Immediately After The Aquablation Therapy?
    As with most BPH procedures, you will wake up with a catheter following Aquablation therapy, which allows you to urinate while your urethra heals. Patients typically stay overnight in the hospital. While no one likes staying overnight in a hospital, the benefit with Aquablation therapy is that most patients end up leaving the hospital without a catheter.1,2,3 References: 1. Gilling, P, et al. Three-Year Outcomes after Aquablation Therapy Compared to TURP: Results from a Blinded Randomized Trial. Can J Urol. 2020 Feb;27(1):10072-10079. 2. Bhojani, N, et al. Aquablation for Benign Prostatic Hyperplasia in Large Prostates (80-150 cc): 1-Year Results. Urology. 2019 Jul;129:1-7. 3. Data on file at PROCEPT BioRobotics.
  • What Is Recovery Like After Aquablation Therapy?
    As with most BPH procedures, you will wake up with a catheter following Aquablation therapy, which allows you to urinate while your urethra heals. Patients typically stay overnight in the hospital. While no one likes staying overnight in a hospital, the benefit with Aquablation therapy is that most patients end up leaving the hospital without a catheter.1,2,3 Once you’re home, you may experience mild burning during urination for a couple of weeks. This can be managed with mild pain medication. Patients can resume their normal activities once approved by their doctor. References: 1. Gilling, P, et al. Three-Year Outcomes after Aquablation Therapy Compared to TURP: Results from a Blinded Randomized Trial. Can J Urol. 2020 Feb;27(1):10072-10079. 2. Bhojani, N, et al. Aquablation for Benign Prostatic Hyperplasia in Large Prostates (80-150 cc): 1-Year Results. Urology. 2019 Jul;129:1-7. 3. Data on file at PROCEPT BioRobotics.
  • What Is The Cost Of Aquablation Therapy?
    The cost of Aquablation therapy will depend on what country you live in and what type of insurance you have.
  • Does My Insurance Cover Aquablation Therapy?
    For patients in the United States, two of the major national private insurance companies (Anthem and Humana) have issued positive coverage policies for its patients. For all other private insurance companies, coverage can be assessed on an individual basis, and you should speak with your provider directly to determine if Aquablation therapy is available for you. For patients outside of the United States, reimbursement and coverage vary by geography. We recommend patients contact their local physician providers to determine if Aquablation therapy is available.
  • What Is Aquablation Therapy?
    Aquablation therapy is a one-of-a-kind procedure. It is the only procedure that uses a heat-free waterjet controlled by robotic technology to remove prostate tissue and combines a camera (called a cystoscope) with ultrasound imaging, giving the surgeon the ability to see the entire prostate in real time. As a result, Aquablation therapy is precise, consistent and predictable and provides long-term relief no matter how large your prostate is, and has a very low rate of irreversible complications—incontinence, ejaculatory dysfunction, erectile dysfunction.1,2 References: 1. Gilling, P, et al. Three-Year Outcomes after Aquablation Therapy Compared to TURP: Results from a Blinded Randomized Trial. Can J Urol. 2020 Feb;27(1):10072-10079. 2. Bhojani, N, et al. Aquablation for Benign Prostatic Hyperplasia in Large Prostates (80-150 cc): 1-Year Results. Urology. 2019 Jul;129:1-7.
  • Who Is An Appropriate Candidate For Aquablation Therapy?
    Aquablation therapy has been proven as a safe and effective treatment for patients suffering from lower urinary tract symptoms (LUTS) due to BPH. Aquablation therapy can be performed on prostates of any size.
  • Who Performs Aquablation Therapy Surgery?
    Your urologist performs Aquablation therapy using the AquaBeam Robotic System. The procedure takes place in a hospital. When our team performs embolization prior to Aquablation therapy, the PAE will be performed by a Vascular Interventional Radiologist
  • How Common Is Aquablation Therapy Surgery?
    Aquablation therapy is commercially available in the United States, Canada, Europe, United Kingdom, the Middle East and Asia.
  • Is Aquablation Therapy FDA Approved?
    Yes, Aquablation therapy is performed by the AquaBeam Robotic System, which was cleared by the FDA in December 2017.
  • Does Aquablation Therapy Have CE Mark?
    Yes. Aquablation therapy is performed by the AquaBeam Robotic System, which received CE Mark in 2014.
  • What Are The Risks Associated With Aquablation Therapy?
    The most common side effects are mild and temporary. These may include mild pain, bleeding or strain while peeing, discomfort in the pelvis, inability to empty the bladder, a frequent and/or urgent need to urinate, and bladder or urinary tract infection. Other risks include ejaculatory dysfunction and a low risk of injury to the urethra or rectum. For more information about potential side effects and risks associated with Aquablation therapy, speak with your urologist or surgeon. With the most significant risk in clinical studies being bleeding, the team has worked to improve this outcome by performing PAE or embolization prior to Aquablation. This has been performed with clinical results showing an improvement in bleeding rate, discharge to home, and complications compared to published studies.
  • What Are The Clinical Results?
    Aquablation therapy has been studied in seven different clinical trials. It has been shown to be a safe and effective treatment for patients suffering from lower urinary tract symptoms (LUTS) due to BPH. Aquablation therapy can be performed on prostates of any size. References: 1. NCT03191734 – French Aquablation Clinical Investigation Using Waterjet Ablation Therapy for Endoscopic Resection of Prostate Tissue 2. NCT03123250 – Waterjet Ablation Therapy for Endoscopic Resection of Prostate Tissue II (WATERII) 3. NCT02974751 – Global Post-Market Registry Using Waterjet Ablation Therapy for Endoscopic Resection of Prostate Tissue (OPEN WATER) 4. NCT02505919 -Waterjet Ablation Therapy for Endoscopic Resection of Prostate Tissue (WATER) 5. NCT03167294 – AquaBeam India Study for the Treatment of Benign Prostatic Hyperplasia (ABS) 6. NCT03125863 – Acute Hemostasis Following the Use of the AquaBeam® System for the Treatment of Benign Prostatic Hyperplasia (AHA) 7. NCT03125889 – Acute Hemostasis Following the Use of the AquaBeam® System for the Treatment of Benign Prostatic Hyperplasia II (AHA II)
  • What Is The AquaBeam Robotic System?
    The AquaBeam Robotic System performs Aquablation therapy.
  • Why Is The AquaBeam Robotic Surgery Better?
    Aquablation therapy is a one-of-a-kind procedure. It is the only procedure that uses a heat-free waterjet controlled by robotic technology to remove prostate tissue and combines a camera (called a cystoscope) with ultrasound imaging, giving the surgeon the ability to see the entire prostate in real time. As a result, Aquablation therapy is precise, consistent and predictable and provides long-term relief no matter how large your prostate is. It has a very low rate of irreversible complications—incontinence, ejaculatory dysfunction, erectile dysfunction.1,2 References: 1. Gilling, P, et al. Three-Year Outcomes after Aquablation Therapy Compared to TURP: Results from a Blinded Randomized Trial. Can J Urol. 2020 Feb;27(1):10072-10079. 2. Bhojani, N, et al. Aquablation for Benign Prostatic Hyperplasia in Large Prostates (80-150 cc): 1-Year Results. Urology. 2019 Jul;129:1-7.
  • Does The Treatment Impact Sexual Function?
    Aquablation therapy has a very low rate of irreversible complications (incontinence, ejaculatory dysfunction, erectile dysfunction).1,2 References: 1. Gilling, P, et al. Three-Year Outcomes after Aquablation Therapy Compared to TURP: Results from a Blinded Randomized Trial. Can J Urol. 2020 Feb;27(1):10072-10079. 2. Bhojani, N, et al. Aquablation for Benign Prostatic Hyperplasia in Large Prostates (80-150 cc): 1-Year Results. Urology. 2019 Jul;129:1-7.
  • What Are The Side Effects?
    Once you’re home, you may experience mild burning sensation and urgency during urination for a couple of weeks. This can be managed with mild pain medication. Patients can resume their normal activities once approved by their doctor.
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