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Prostate artery embolization for benign prostatic hyperplasia

Anirudh Mirakhur and Justin McWilliams

Prostate artery embolization (PAE) has emerged as a promising treatment for lower urinary tract symptoms secondary to benign prostatic hyperplasia (BPH). We aim to provide an up-to-date review of this minimally invasive technique, including discussion of potential benefits and technical challenges. Current evidence suggests it is a promising and effective option for patients with large prostate volumes, multiple comorbidities, and suboptimal results from pharmacotherapy. Larger, randomized studies with long-term follow-up data are needed for this technique to be formally established in the treatment paradigm for BPH.