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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.)
Our practice has performed more than 1,000 PAE procedures since 2021, the highest PAE volume in the Northeast by procedure-volume data. Dr. David Shusterman evaluates and selects patients and provides the aftercare, and our interventional radiologist, Dr. Yosef Golowa, performs the embolization. Pairing urology with interventional radiology is an uncommon combination that's central to doing this procedure well, and 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 explained 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 is Dr. Shusterman's first-line procedure for an enlarged prostate: the least invasive option, with the fewest complications, and it works for large prostates too. It isn't the right fit for every man, and when it isn't, Rezūm is the alternative. The fastest way to know is an evaluation at our Manhattan or Forest Hills office, where we'll look at the whole picture and lay out the choices honestly. 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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