Benign Prostatic Hyperplasia (BPH): A Common Problem, A Modern Solution

Benign Prostatic Hyperplasia—commonly known as BPH or enlarged prostate—is a condition that affects millions of men, particularly as they age. While not cancerous, BPH can significantly disrupt daily life, causing frequent urination, disrupted sleep, and difficulty with bladder emptying.
At Prospero Vascular & Interventional (PVI) in the East Bay, we offer a minimally invasive, outpatient solution for BPH called Prostatic Artery Embolization (PAE)—a breakthrough treatment that can relieve symptoms without surgery or prolonged recovery.
What Is Benign Prostatic Hyperplasia?
BPH is the non-cancerous enlargement of the prostate gland, a walnut-sized organ located just below the bladder. As the prostate grows, it can press against the urethra, leading to urinary symptoms that worsen over time.
Common Symptoms of BPH Include:
- Frequent or urgent need to urinate, especially at night (nocturia)
- Difficulty starting or stopping urination
- Weak urine stream or dribbling
- Sensation of incomplete bladder emptying
- Straining to urinate
- Increased risk of urinary tract infections (UTIs)
These symptoms can reduce quality of life and impact sleep, work, travel, and daily comfort.
Who Is at Risk?
- Men over age 50
- Those with a family history of prostate problems
- Individuals with obesity or sedentary lifestyles
- People with chronic health conditions such as diabetes or heart disease
Why Early Treatment Matters
If left untreated, BPH can lead to:
- Urinary retention (inability to urinate)
- Bladder damage
- Kidney issues
- Frequent infections
- Dependence on catheters or medication
Advanced, Non-Surgical Relief: Prostatic Artery Embolization (PAE)
Prostatic Artery Embolization is a minimally invasive treatment performed by an interventional radiologist. It works by reducing blood flow to the enlarged prostate, causing it to shrink and relieving pressure on the urethra.
✅ How PAE Works:
- A tiny catheter is inserted through a small incision in the groin or wrist
- Using real-time imaging, the catheter is guided to the prostatic arteries
- Microspheres are injected to block the blood supply feeding the prostate
- This reduces the size of the prostate, relieving symptoms over time
✅ Benefits of PAE:
- No general anesthesia
- Outpatient procedure—go home the same day
- Minimal pain and quick recovery
- No incisions in the prostate or urethra
- Preserves sexual function and continence in most men
- Proven long-term relief of urinary symptoms
What to Expect After Treatment
- Most patients experience symptom improvement within 2–6 weeks
- Mild pelvic discomfort or fatigue may occur for a few days
- No catheter is typically needed
- Return to regular activities in 2–3 days
Why Choose Prospero Vascular & Interventional?
At PVI, we specialize in non-surgical, image-guided treatments that restore comfort and quality of life—without the risks or downtime of surgery.
✔ Fellowship-Trained Interventional Radiologist
Experienced in advanced men’s health procedures
✔ State-of-the-Art Imaging
Ensures precision and safety during every procedure
✔ Whole-Person Care
We listen, explain, and personalize treatment for your unique needs
✔ Convenient East Bay Location
Accessible care with flexible scheduling
Frequently Asked Questions (FAQ)
Q: Is BPH the same as prostate cancer?
A: No. BPH is benign (non-cancerous) and does not increase your risk of prostate cancer, though both conditions can occur together.
Q: How long does the PAE procedure take?
A: An interventional radiologist performs the procedure in 60–90 minutes under local anesthesia.. Most patients go home the same day.
Q: When will I notice symptom relief?
A: Most men begin to see improvement within a few weeks, with continued symptom reduction over several months.
Q: Is PAE covered by insurance?
A: Yes, many insurance providers cover PAE. Our team will help confirm your benefits and explain any out-of-pocket costs beforehand.
Q: Will it affect my sexual function?
A: Unlike traditional prostate surgery, PAE typically preserves sexual function and continence, making it a preferred option for many men.
Q: Am I a candidate for PAE?
A: Ideal candidates are men with moderate to severe urinary symptoms from BPH who wish to avoid surgery or who haven’t had success with medications.
Q: Do I need a referral to schedule a consultation?
A: No referral is needed. Call us directly at (510) 977-8466 to schedule your evaluation.
Take Back Control Without Surgery
Living with urinary symptoms shouldn’t be your norm. At Prospero Vascular & Interventional, we help men across the East Bay find safe, lasting relief from BPH—without invasive surgery or long recovery.
📞 Call (510) 977-8466 or visit https://prosperovascular.com to schedule your consultation and learn if PAE is right for you.
Move Better. Feel Better. Live Better.