Prostate Woes? Ask the Prostate Pros!: HIFU Or PAE For An Enlarged Prostate? [PODCAST]

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RELATED: Enlarged Prostate | Causes, Symptoms, Treatment & Prevention

HIFU Or PAE For An Enlarged Prostate?

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In this segment, Dr. Mistry and Donna Lee answer a listener question about whether HIFU–high intensity focused ultrasound–can be used to reduce the size of an enlarged prostate. The HIFU procedure is a state-of-the-art treatment for prostate cancer. It selectively targets cancerous areas of the prostate and then ablates only those areas with minimal damage to the surrounding tissue.

This is an amazing advance in treatment because other prostate cancer treatments can sometimes lead to urinary incontinence and/or erectile dysfunction. However, Dr. Mistry explains that HIFU is not used to reduce the size of the prostate. He recommends a non-invasive procedure called prostate artery embolization or PAE to treat enlarged prostate.

This treatment cuts off some but not all of the blood supply to the prostate, causing it to shrink in size. Our partners Dr. Wood and Dr. Sill, interventional radiologists at Advantage IR, can complete this procedure by going through the arteries (instead of the penis). 80% of our PAE patients report that they can reduce or go off of their prostate medication and have more robust erections afterward!

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