Welcome to Kansas City Prostate Center at MIVA Medical
Missouri’s Experts in Minimally Invasive Treatment for Benign Prostatic Hyperplasia
Not Sure If You’re A Good Candidate?
We Offer Out-Patient, Minimally Invasive Treatment For Benign Prostatic Hyperplasia
Prostate artery embolization as a treatment option for symptomatic enlargement of the prostate has recently been included in the acceptable treatment strategies by the American Urologic Association. Unique to many other treatment options, this procedure is completely non-surgical, has a low-risk profile with a high success rate, and has been shown to preserve urinary and sexual function.
Ross B.
“It’s been a true pleasure working with everyone at MIVA, including Dr. Anderson to the nursing staff that attended to me during the prep and procedure. Also, Michelle at the front desk is a true superstar. I’ve never encountered anyone in healthcare who’s been more of a pleasure to work with.”
Jeff B.
“Dr. Williams, Carrie, Michelle, and all of the staff were tremendous! They are professional, personable, helpful, and attentive. They explain what they are doing in each phase of the treatment, from scanning, to prolonged preventative maintenance. They will take the time to explain what is causing the condition, the procedure to rectify the issue, and what is necessary for continued relief. Everyone that I had the opportunity to meet were very pleasant, courteous, and friendly. Highly recommend this staff to treat any vascular needs that need professional attention.“
Tony I.
“Everyone was nice and courteous it was a pleasant experience.“
Are You Experiencing:
Weak Urine Stream
Or difficulty starting a urine stream
Urinary Retention
The bladder doesn’t empty completely or at all
Urinary Urgency & Frequency
The frequent urge or need to urinate
Dribbling
Inability to complete or stop the urine stream
Urinary Incontinence
Loss of bladder control, or being unable to control urination
Painful Urination or Ejaculation
Discomfort when urinating or ejaculating can be mild or extreme
Meet Your Doctors
Dr. Williams and Dr. Brown are board-certified vascular and interventional radiologist with extensive experience in prostate artery embolization. They strive to spread awareness of how minimally invasive treatments can greatly improve the quality of life and outcomes in their patients. Both Dr. Brown and Dr. Williams take pride in being experts in the Kansas City region and all of Missouri for PAE. Click here to see additional information and dedicated videos by Dr. Brown, discussing enlarged prostate (BPH) and minimally invasive treatment option
Take A Tour Of Miva Medical
Frequently Asked Questions About Prostate Artery Embolization
Frequently Asked Questions
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What are the current treatment options for symptomatic enlargement of the prostate?
Lifestyle modification
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- Diet and exercise
- Avoiding caffeine and alcohol
- Limiting fluid intake in certain situations such as before going to bed
Medication management
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- Used to shrink the prostate gland, inhibit prostate growth, or limit symptoms
- Used solely or in combination with other classes of medications to provide relief
- Alpha-blockers such as tamsulosin (Flomax) relax prostate and bladder neck smooth muscle, reducing urine blockage and improving urine flow
- PD-5 inhibitors such as Tadalifil (Cialis) relax smooth muscles of the lower urinary tract and thus can improve lower urinary tract symptoms
- 5-alpha reductase inhibitors such as finasteride (Proscar) can block prostate growth or cause the prostate to shrink in some men.
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Minimally invasive procedures
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- Prostate artery embolization (PAE)
- Prostate urethral lift (PUL)
- Minimally invasive simple prostatectomy
- Transurethral needle ablation
- Prostatic stent placement
- Transurethral thermal therapies
- Aquablation
- High-intensity focused ultrasound (HIFU)
Surgery of the prostate
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- Transurethral resection of the prostate (TURP)
- Open prostatectomy
- Transurethral incision of the prostate (TUIP)
- Laser surgery
What is prostate artery embolization (PAE)?
Prostate artery embolization or PAE is a minimally invasive procedure for patients suffering from enlarged prostates, specifically, benign prostate hyperplasia or “BPH”. Using state of the art technology and advanced minimally invasive techniques, the blood flow supplying to the prostate gland is targeted and diminished, causing the prostate gland to shrink.
During the procedure, a small puncture is made in either the wrist or the groin and using image guidance, a tiny catheter is placed into the artery and navigated into the small arteries supplying blood flow to the prostate gland. Once the catheter is shown to be in a safe location for treatment, microscopic particles (which do not contain any medication or radiation) are slowly injected into the feeder arteries of the prostate until the flow is diminished. Following treatment, final images are obtained to ensure adequate delivery of particles. At the conclusion of the procedure the catheter is removed. Recovery is quick with most patients being discharged in 1 hour following the procedure.
What to expect during prostate artery embolization?
At MIVA MEDICAL, prostate artery embolization is a well-tolerated procedure, performed on an outpatient basis using conscious sedation, with a recovery time of approximately 1 hour. Procedure time may vary depending on case complexity and prostate artery anatomy, though typically takes approximately 1-2 hours to complete. Home medications will be reviewed at the initial clinic visit, and most medications can be continued as prescribed, though we will inform you of any medications needing held for the procedure prior to procedure day. Patients are required to not eat or drink anything for 6 hours prior to the procedure, though can take small sips of water with their home medications. Patients will be prescribed medications following the procedure to minimize pain and inflammation, as well as minimize chance for infection. These medications will be sent to your pharmacy for pickup.
What are the risks associated with prostate artery embolization (PAE)?
PAE has a low risk profile, with rare complications, most of which can be easily treated. An in-depth conversation regarding the risks of the procedure will be discussed with you at MIVA MEDICAL prior to your procedure. Procedural risks include but are not limited to:
- Pain
- Bleeding
- Infection
- Inability to urinate temporarily
- Blockage of non-prostate arteries during injection of particles
How does prostate artery embolization differ from other surgical procedures such as transurethral resection of the prostate (TURP)?
While both similarly improve lower urinary tract symptoms, PAE being a nonsurgical, minimally invasive procedure has several advantages such as:
- lower risk of complications
- ability to perform the procedure without having to obtain surgical access through the penis
- No expected hospitalization
- Faster recovery time
What is the recovery following prostate artery embolization?
Prostate artery embolization (PAE) is a well-tolerated procedure with a low risk profile, and short recovery. Most patients typically have minor symptoms such as mild pelvic pain/cramping, fatigue, and low-grade fever, lasting for a few days following the procedure. These symptoms are typically self-limiting, peak around day 3, and will gradually improve with time. Occasionally, patients may experience:
- hematuria (blood in the urine)
- urinary frequency (having to urinate often)
- urinary urgency (feeling the need to urinate often)
- dysuria (burning sensation during urination).
How do I know if I am a candidate for prostate artery embolization (PAE)?
At MIVA MEDICAL, we perform physical exam, review medical history, and obtain any prior imaging studies, as well as utilize a scoring system to assess the severity of your lower urinary tract symptoms related to enlarged prostate. Based on this information, we can better assess if you would be a good candidate for PAE.
Is prostate artery embolization covered by insurance?
Yes, PAE is now recognized as an acceptable treatment option for symptomatic enlargement of the prostate, and most insurance carriers cover PAE. Contact us at MIVA MEDICAL, and we can help you find out if your specific plan covers this procedure.
