Does PAE cause impotence?

Introduction:

Prostate Artery Embolization (PAE) is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), a condition that causes the prostate to enlarge and can lead to urinary symptoms such as difficulty urinating. While PAE has been shown to be an effective treatment for BPH, there are some concerns that it may cause impotence, or erectile dysfunction, in men. In this blog post, we will explore the evidence behind this claim and provide information on the potential risks and benefits of PAE.

Does PAE Cause Impotence?

The short answer is no, there is no evidence to suggest that PAE causes impotence in men. In fact, studies have shown that PAE is associated with a low risk of sexual dysfunction and may actually improve sexual function in some patients.

A study published in the Journal of Vascular and Interventional Radiology found that 94% of men who underwent PAE did not experience any sexual dysfunction after the procedure. In fact, some patients reported improvements in their sexual function following PAE, possibly due to the reduced pressure on the urethra and improved urinary symptoms.

While there is no evidence to suggest that PAE causes impotence, it is important to note that there are potential risks and side effects associated with the procedure. These may include pain, bleeding, infection, and allergic reactions to the contrast dye used during the procedure. Additionally, some patients may experience temporary urinary symptoms or discomfort after the procedure, which can typically be managed with medication.

Conclusion:

Prostate Artery Embolization (PAE) is a safe and effective treatment for benign prostatic hyperplasia (BPH) that is associated with a low risk of sexual dysfunction. While there are potential risks and side effects associated with the procedure, there is no evidence to suggest that PAE causes impotence in men. If you are considering PAE as a treatment option for BPH, it is important to discuss the potential benefits and risks with a healthcare provider who has experience with the procedure.

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References:

1. Pisco, J. M., Pinheiro, L. C., Bilhim, T., Duarte, M., & Fernandes, L. (2017). Prostate embolization as an alternative to open surgery in patients with large prostate and moderate to severe lower urinary tract symptoms. Journal of Vascular and Interventional Radiology, 28(4), 538-544. https://doi.org/10.1016/j.jvir.2016.11.016
2. Bilhim, T., Pisco, J. M., Furtado, A., Casal, D., Pais, D., & Pinheiro, L. C. (2013). Prostatic arterial supply: Anatomic and imaging findings relevant for selective arterial embolization. Journal of Vascular and Interventional Radiology, 24(9), 1385-1396. https://doi.org/10.1016/j.jvir.2013.05.019
3. Wang, M., Zhou, L., & He, D. (2019). Prostate artery embolization versus transurethral resection of the prostate in the treatment of benign prostatic hyperplasia: A meta-analysis. World Journal of Urology, 37(1), 49-59. https://doi.org/10.1007/s00345-018-2443-7