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Prostate care
PAE shrinks an enlarged prostate by reducing its blood supply — no surgery, no hospital stay, and for most men, no catheter on the way out. It's a procedure our team performs more than almost anyone in the region.
Prostate artery embolization (PAE) is a minimally invasive way to treat an enlarged prostate (BPH). Instead of cutting or removing tissue, an interventional approach reduces the blood supply to the prostate through a tiny catheter — so the gland gradually shrinks and urinary symptoms ease. There's no surgical incision in the prostate and, for most men, no hospital stay.
It's one of the gentler points on the BPH treatment ladder — and a strong option for men who'd rather not go to the operating room. (Unless a catheter was already in place, most patients leave without one.)
Dr. David Shusterman has performed more than 1,000 PAE procedures since 2021 — the highest PAE volume in the Northeast by procedure-volume data. Just as important, our practice pairs urology with an interventional radiology team, an uncommon combination that's central to doing this procedure well. The result is a strong safety record and a low rate of complications.
Going deeper
1Prostate is our dedicated prostate center, where the PAE program is covered end to end. For a step-by-step look at how the procedure works, Modern Urologist's prostate artery embolization page goes further still.
PAE at 1Prostate How PAE worksPAE isn't the only path for an enlarged prostate, and it isn't right for everyone — the best option depends on your symptoms, prostate size, and goals. The fastest way to know is an evaluation. We'll look at the whole picture and lay out the choices honestly, at our Manhattan or Forest Hills office. Start with the enlarged-prostate (BPH) overview if you're still getting oriented.
No. PAE is a minimally invasive, image-guided procedure — not open surgery. It's typically done in under an hour with moderate sedation, through a tiny catheter, and most patients walk out the same day without a catheter in place.
Most men return to normal activity within a few days. Because there's no surgical incision in the prostate, recovery tends to be quicker and more comfortable than surgical options.
Men with an enlarged prostate causing urinary symptoms — particularly those who want to avoid surgery, have a larger prostate, or aren't ideal candidates for other procedures. An evaluation determines fit.
PAE is generally associated with a low risk of the sexual side effects that can follow some prostate surgeries. We'll review the specifics for your situation during your consultation.
Book an evaluation at our Manhattan or Forest Hills office and we'll tell you honestly whether PAE is your best option.
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