Benign Prostate Hyperplasia
If you or your loved one is seeking relief from the challenges of benign prostate hyperplasia, our Supreme Vascular and Interventional Clinic vascular specialist, Dr. Manish Taneja, is dedicated to providing cutting-edge treatments and personalized care to help you reclaim control over your urinary health. We believe that every step towards a healthier prostate is a step towards a happier, more fulfilling life.
Introduction to Benign Prostatic Hyperblasia
Benign prostatic hyperplasia (BPH) is a non-cancerous condition affecting men caused by an enlarged prostate gland. The enlarged prostate compresses on the urine channel leading from the bladder outwards affecting the flow and passage of urine.
Symptoms of BPH
- Frequent or urgent need to urinate, especially at night (nocturia)
- Difficulty starting urination
- Weak urine stream or a stream that stops and starts
- Dribbling at the end of urination
- Urinary tract infection
- Inability to urinate/empty the bladder
- Blood in the urine
There are multiple treatment options to treat BPH. One of the endovascular procedures to treat BPH is Prostate artery embolization (PAE). This procedure is supported under NICE guideline (National Institute of Health and Care Excellence), UK.
Prostate Artery Embolisation
PAE is a minimally invasive procedure that selectively treats the enlarged prostate by blocking off the specific arteries that feed the enlarged part of the gland . PAE was first performed in 2009. In PAE, 2 mm access is done in artery of groin or wrist under local anaesthesia and intravenous sedation , and small tube called catheter is used to reach the arteries that supply the prostate selectively. Tiny microspheres/ particles are then injected into the small arteries that supply the prostate to block off the blood supply to the diseased enlarged prostate. As a result, the prostate shrinks and the urethra is less compressed.
PAE is done as a day surgery procedure under local anaesthesia and intravenous sedation. It takes about one hour to do the procedure. Most patients experience minimal pain and discomfort, recover within 4–6 hours post-procedure and can be discharged home.
Patients who are particularly suitable for PAE:
- Elderly patients with severe symptoms and who are considered at significant risk for general anaesthesia and surgery
- Patients not suitable for TURP due to bleeding risks
- Patients who wish to maintain their urinary continence and sexual potency
Other Health Conditions
Being one of the few dual trained and certified neurointerventional and peripheral vascular interventionists in practice in Singapore, Dr. Manish Taneja has a special interest in treating brain aneurysms, stroke, and vascular malformations using latest advanced techniques.