Non-Surgical Treatment for an Enlarged Prostate

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Non-Surgical Treatment for an Enlarged Prostate

Discover the Benefits of Prostate Artery Embolization (PAE) in Dallas at MTVIR

If you’ve been waking up multiple times a night to use the bathroom, struggling with a weak urine stream, or dealing with the anxiety of needing prostate surgery — you’re not alone. These are common symptoms of Benign Prostatic Hyperplasia (BPH), more commonly known as an enlarged prostate.

Fortunately, there’s a non-surgical solution that avoids the side effects of traditional surgery and gets you back to normal life — Prostate Artery Embolization (PAE), available right here in Dallas at MTVIR.

What Is Benign Prostatic Hyperplasia (BPH)?

BPH is a non-cancerous enlargement of the prostate gland that can lead to uncomfortable and frustrating urinary symptoms. It affects more than 50% of men by age 60 and up to 90% of men over age 80. As the prostate grows, it can press against the urethra and interfere with the normal flow of urine.

Common symptoms of an enlarged prostate include:

  • Frequent urination, especially at night

  • Urgent need to urinate

  • Difficulty starting or stopping urination

  • Weak or interrupted urine stream

  • Dribbling at the end of urination

  • Feeling like your bladder never fully empties

  • Painful ejaculation or reduced sexual performance

Introducing Prostate Artery Embolization (PAE)

Prostate Artery Embolization is a modern, minimally invasive procedure that treats BPH without traditional surgery. Instead of removing prostate tissue through the urethra, as with TURP or other surgical methods, PAE works by shrinking the prostate from the inside out — with fewer risks and faster recovery.

How Does PAE Work?

The PAE procedure is performed by an interventional radiologist at MTVIR. Using advanced imaging, a tiny catheter is inserted through a small pinhole in the wrist or groin (typically the radial or femoral artery). This catheter is carefully guided to the arteries supplying blood to the prostate.

Once in position, microscopic embolic particles are released into the artery, reducing blood flow to the prostate. As the prostate receives less blood, it begins to shrink over time, relieving pressure on the urethra and significantly improving urinary symptoms.

Why Choose PAE Over Traditional Surgery?

Traditional BPH surgeries often involve general anesthesia, hospital stays, and weeks of recovery. They may also carry a higher risk of complications such as erectile dysfunction or urinary incontinence.

PAE is different. It’s a non-surgical outpatient procedure that can be completed in about 1–2 hours under light sedation. Most patients go home the same day and return to normal activities within a week.

Benefits of Prostate Artery Embolization:

  • No general anesthesia required

  • No hospital stay — outpatient procedure

  • No cutting or instruments through the urethra

  • Faster recovery (7–10 days on average)

  • Minimal risk of sexual side effects

  • Proven long-term relief from BPH symptoms

 

PAE vs. Conventional Surgery: A Quick Comparison

Treatment Feature Prostate Artery Embolization Traditional Prostate Surgery (TURP, etc.)
Surgical Type Minimally invasive Invasive
Anesthesia Light sedation General anesthesia
Incision Site Wrist or thigh Through urethra
Hospital Stay None – same-day discharge 1–3 days
Recovery Time 7–10 days Up to 6 weeks
Sexual Side Effects Low risk Moderate to high risk
Catheter Required Post-Procedure Rarely Often

Is PAE Painful?

Not at all. Most patients describe the procedure as easy and pain-free. It’s performed under “twilight sleep” — a light sedation that keeps you comfortable but awake. There’s no need for general anesthesia, and no surgical wounds or stitches.

Who Is a Good Candidate for PAE?

You may be a good candidate for prostate artery embolization if:

  • You have moderate to severe BPH symptoms

  • You want to avoid surgery and preserve sexual function

  • You’ve tried medications for BPH without lasting relief

  • You prefer a minimally invasive, outpatient solution

At MTVIR, our specialists perform a comprehensive evaluation to determine if PAE is right for you.

Why Choose MTVIR for BPH Treatment in Dallas?

At MTVIR, we’re proud to be one of the few practices in North Texas to offer consultation, diagnosis, and the full PAE procedure under one roof — no hospital referrals needed.

Led by Dr. Matthew Van Meter, a D Magazine “Best Doctor” and experienced interventional radiologist, our team provides exceptional care with a personal touch. Patients consistently choose us for our skill, compassion, and streamlined approach.

Looking for Prostate help in Dallas?

Look no further. We have a state-of-the-art center in North Dallas, where we can perform not only consultations but also surgeries.

Find us at:

9101 N Central Expy, Suite 550, Dallas, TX 75225
Call (469) 458-9800
Or contact us here to schedule a consultation.

Can a PAE Procedure Lead to Better Sleep?

There’s a good chance if you have been diagnosed with BPH you could have better sleep!

Those with an enlarged prostate often find themselves needing to visit the bathroom frequently because of the prostate pressing against their bladder. While frustrating to make these many trips during the day, they can have even more dire consequences at night when they continually interrupt your sleep.

The Health Effects of Nocturia

Nocturia refers to waking in the middle of the night with an urgent need to urinate and is a common symptom of those with an enlarged prostate.

 

However, nocturia also leads to abnormal sleep patterns. 

The body goes through four sleep stages at night, cycling through stages two through four 5-6 times, on average. Of these four stages, the final two are especially important for quality sleep.

Third Stage

The third stage of sleep (NREM), also known as “deep sleep,” generally occurs 10- 30 minutes into the sleep cycle and lasts for 20-40 minutes. During this stage, your body repairs bones, muscles, and tissues while also promoting the functioning of your immune system.

Final Stage

REM sleep, also known as the fourth sleep stage, is essential for cognitive functions such as learning, memory, and creativity. However, REM sleep increases in length throughout the night, meaning to gain the most benefit from this sleep stage, it is crucial to have continuous, noninterrupted sleep.

When you have to wake up to use the bathroom during the night, you limit the amount of deep sleep and REM sleep you get, resulting in consequences such as:

  • sleep deprivation
  • daytime sleepiness
  • reduction in creativity
  • lack of concentration
  • poor coordination
  • mood changes

Not only can these nighttime awakenings affect how you feel and your quality of life, but they can also impact your safety. For instance, someone who commutes to work each day by driving may be at greater risk of crashing their car because of poor concentration and sleepiness.

To increase your health and wellness, you need a way to treat your nocturia so that you can sleep through the night without interruption.

PAE: A Solution for Better Sleep

Most recommendations for better sleep revolve around promoting good sleep hygiene, such as getting off your electronics an hour before bed and following a sleep schedule. However, these tips will not help those with nocturia since this problem stems from the enlarged prostate pressing on the bladder.

For those with an enlarged prostate, prostate artery embolization (PAE) can help.

PAE is a minimally invasive procedure where a catheter is inserted into an artery on the groin or wrist and directed to the bladder. Once there, microspheres are injected through the catheter into the blood vessels of the prostate, blocking blood flow and naturally causing the prostate to shrink.

Beyond being a minimally invasive procedure with an easy recovery, PAE also helps to solve your nocturia problems since it causes the prostate to shrink. Once the prostate shrinks, it does not push on the bladder as much and, thus, allows you to go through the night without needing to get up.

Research has proven these results, with PAE reducing the number of times men need to get up to urinate during the night.

If you’re tired of waking throughout the night and feeling like you don’t have the energy you need for your day, regain control of your sleep and improve your quality of life through PAE, offered by MTVIR.

The Benefits of In-Office PAE procedures

Providing far more benefits for a common condition

A natural problem that men experience as they age is prostate enlargement. A condition also known as benign prostatic hyperplasia

An enlarged prostate can cause symptoms such as urinary incontinence, increased urinary frequency, or pain when urinating. This sends many men searching for a remedy. While multiple treatment options for enlarged prostates exist, prostatic artery embolization (PAE) is a minimally invasive procedure offering easy prostate recovery and significant improvements to those unpleasant symptoms.

For those in the Dallas or Fort Worth area, MTV IR is the clear choice for receiving your PAE procedure.

See the specialists at MTV IR for Prostate Artery Embolization

Coming to MTV IR for your PAE procedure offers many benefits beyond our practice being one of very few that offer this treatment, This is because MTV IR is also one of the only practices that can perform the procedure in the office, non-hospital setting.

Other facilities have to schedule the procedure at a hospital for outpatient surgery. The benefits of avoiding a hospital stay and instead offering the procedure in-office are numerous.

Ease of Scheduling
Most medical offices do not have the capability to perform the PAE procedure in-office. Instead, they use hospital facilities. The problem with this arises in attempting to schedule the procedure. Other medical offices may use the same hospital to perform procedures, which may result in limited time slot availability.

In comparison, MTV IR performs all PAE procedures in a non-hospital setting, allowing for greater ease of scheduling and you to experience relief from your symptoms faster.

Less Wait Time

Patients wait significantly less for their procedure when receiving it at an in-house medical office setting. Our volume is not as condensed, ensuring that each patient can be seen when they are scheduled. MTV IR honors your time, which is why it is our goal to be as efficient as possible to get you “in and out” quicker, without sacrificing exceptional care.

No Hospital Drama

MTV IR’s clinic is a welcome location for surgery as it has much fewer patients waiting for a procedure at the same time and no other emergencies that increase activity. This creates a more calming environment for patients before and after their procedure.

PAE & MTV IR: A solution for Enlarged Prostates

For those looking to address the cause of their prostate enlargement through PAE, MTVIR is a clinic proud to offer this effective minimally invasive procedure in-house. By having the facilities needed to perform the procedure at MTVIR, patients do not need to visit the hospital, creating greater ease of scheduling while reducing wait times and surrounding drama.

If you are ready to take action against your enlarged prostate at one of the only clinics offering PAE procedures in-house in the Dallas and Fort Worth area, reach out to MTVIR to schedule a consultation.

Stop the Embarrassing Symptoms of Enlarged Prostate

Prostate Artery Embolization (PAE) Benefits

When it comes to an enlarged prostate, treatment helps to relieve symptoms and prevent the prostate from growing larger and causing complications.

These complications can include urinary incontinence and kidney problems, which can make you a frequent visitor to the bathroom. We’re talking eight or more visits to the bathroom each day, and each time you urgently feel like you need to go. This isn’t a serious problem, but it can undoubtedly be annoying.

There are many treatment options for an enlarged prostate, but some involve medication that must be taken regularly to continue seeing results. Other options include surgery, which is a highly invasive procedure with a painful and lengthy recovery time.

When it comes to a permanent solution for an enlarged prostate that has a painless and quick recovery, prostate artery embolization (PAE) is a clear choice.

With PAE, small circular particles are injected through a catheter (which is inserted through the urethra) into the vessels supplying blood to the prostate. With less blood flow, the prostate will begin to shrink.

 

Overall, this procedure offers many benefits, including:

Quick

PAE is a relatively quick procedure, taking anywhere from 1-4 hours depending on the size and location of the prostate arteries. Additionally, PAE is typically performed as an outpatient procedure, so most people who receive PAE can return home the same day, not requiring a hospital stay.

Painless

Since it is a minimally invasive procedure, PAE itself is painless, and most patients only experience mild discomfort following the procedure. However, this discomfort only lasts a few days, with many patients feeling as though they are back to normal in just three days.

In comparison to surgical interventions involving incisions, PAE is also much less painful during recovery.

Quicker Recovery

Compared to invasive surgical procedures requiring incisions, PAE’s recovery time is much faster. In fact, many men can resume their normal activities the next day.

Risk factors for PAD are smoking, high blood pressure, atherosclerosis, diabetes, high cholesterol, and being above the age of 60. Both men and woman are equally affected by PAD. However, African Americans have a greater risk of PAD.

Better Results

Some of the other treatment options, such as some medications, may be able to stop the prostate from growing bigger but cannot undo the growth that has already occurred.

However, with PAE, the prostate begins to shrink immediately, and within a few days, you will notice an improvement in symptoms.

Fewer Complications

Since PAE is a minimally invasive procedure, there are fewer potential complications than there are with invasive surgical procedures. This results in a safer procedure that is not as stressful as other treatments.

Additionally, PAE offers a lower risk of sexual side effects, such as erectile dysfunction, that may occur with invasive surgeries. In fact, some men may find that their sexual function improves after the PAE procedure.

Prostate Artery Embolization for Enlarged Prostates

For those looking for a quick and painless treatment for an enlarged prostate that does not require remembering medication every day, PAE is a top contender. With the short recovery time and fewer complications from the procedure, PAE offers to bring normalcy back to a man’s life as it reverses prostate enlargement and relieves symptoms.

If you are ready to take back control of your life (and make bathroom breaks less frequent), reach out to MTV IR about prostate artery embolization.

References
Pisco, J., Bilhim, T., Pinheiro, L., Fernandes, L., Pereira, J., & Costa, N. et al. (2016). Medium- and Long-Term Outcome of Prostate Artery Embolization for Patients with Benign Prostatic Hyperplasia: Results in 630 Patients. Journal Of Vascular And Interventional Radiology, 27(8), 1115-1122. doi: 10.1016/j.jvir.2016.04.001

Abt, D., Hechelhammer, L., Müllhaupt, G., Markart, S., Güsewell, S., & Kessler, T. et al. (2018). Comparison of prostatic artery embolisation (PAE) versus transurethral resection of the prostate (TURP) for benign prostatic hyperplasia: randomised, open label, non-inferiority trial. BMJ, k2338. doi: 10.1136/bmj.k2338

YES, we can treat your enlarged prostate from your wrist.

That’s right, our PAE procedure or Prostate Artery Embolization can treat your enlarged prostate from your wrist.

If you have BPH or Benign Prostatic Hyperplasia you know the symptoms can be both embarrassing and maddening. An enlarged prostate gland can cause frequent or urgent need to urinate, difficulty starting urination, and a weak urine stream or a stream that stops and starts. For most men, living with an enlarged prostate is beyond bothersome, the urinary symptoms often interfere with their daily living.

Unfortunately, most men ignore the issue due to fear of treatment procedures, which makes matters worse because BPH symptoms tend to gradually worsen over time. Given some of the surgical treatment options in the past it’s understandable that fear plays a major factor in any man’s decision process. Luckily, times have changed. MTVIR now offers men a better way to treat BPH.

MTVIR has a safe, painless, non-surgical treatment called Prostate Artery Embolization or PAE. The procedure is performed under light sedation, without the need for general anesthesia. Prostate Artery Embolization involves inserting a microcatheter into a tiny incision in the femoral artery in the groin or the radial artery in your wrist. Yes, the procedure can be done from the patient’s wrist!. X-ray guidance is used to allow the small catheter to be pass into the artery supplying the prostate. Small spheres are then inserted into the artery to block it, causing the abnormal tissue (BPH) to shrink, soften, and become reabsorbed into the body naturally.

The whole procedure takes 1 to 2 hours, and is done on an outpatient basis with patients going home the same day. PAE also has a very low complication rate, with zero reports of impotence or incontinence, and with no effect on sexual function. Patients typically report improvement of their symptoms within 2 to 3 weeks.

So, there is no reason for any man suffering with an enlarged prostate to put off treatment any longer. MTVIR’s Prostate Artery Embolization is safe, effective, and almost painless. To learn more about our PAE procedure click here. If you have questions about our PAE procedure or would like to schedule a free consultation, call us at 469-458-9800 or send us an email.

9101 North Central Expressway,
Suite 550
Dallas, Texas 75231
469-458-9800
469-458-9900 – fax
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About MTV IR

MTV IR is a trusted leader in fibroid and prostate treatment in the Dallas/Fort Worth area. Led by Dr. Travis Van Meter, our clinic offers non-surgical solutions like Uterine Fibroid Embolization (UFE) and Prostate Artery Embolization (PAE) with advanced technology and compassionate care. As one of Texas’s top interventional radiology centers, we’re proud to serve DFW with expertise in women’s health, men’s health, and liver cancer therapies.

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