Thinking about Prostate Artery Embolization? Here’s how to prepare.

Prostate Artery Embolization (PAE) is a safe, minimally invasive procedure that treats benign prostatic hyperplasia (BPH), an enlarged prostate, by blocking blood flow to the overgrown tissue. Many patients choose PAE as an alternative to surgery or long-term medications due to its low complication rate and quick recovery. At North Star Prostate Center, our goal is to make your experience as smooth and comfortable as possible, starting with the right preparation.

Key Steps to Prepare for PAE

To ensure optimal results and minimize risks, here are the essential steps you’ll need to follow before your procedure:

• Fasting Guidelines:
  • Do not eat or drink anything for at least 8 hours before your scheduled procedure. This includes water, gum, and mints. Your care team will let you know exactly when to start fasting based on your appointment time.
• Medication Instructions:
  • Continue to take any essential medications, such as those for high blood pressure or heart disease, with just a small sip of water. Your physician may instruct you to pause blood thinners or antiplatelet medications (e.g., aspirin, Plavix, or Eliquis) 3–5 days beforehand, so be sure to follow their specific guidance.
• Personal Hygiene:
  • Shower the night before the procedure to lower the risk of infection at the groin access site, where the catheter will be inserted.
• Clothing Tips:
  • Choose loose-fitting, comfortable clothing, especially pants or shorts that are easy to remove and put back on. You’ll be asked to change into a hospital gown before the procedure.
• Transportation:
  • You’ll receive moderate sedation during the embolization, which means you won’t be able to drive yourself home. Please arrange for a family member or trusted friend to accompany you.

Navigating Insurance and Cost for PAE

We know financial planning can feel overwhelming, especially when navigating a newer procedure like PAE. That’s why our administrative team is here to support you from the beginning:

• Insurance Verification:
  • We’ll check your benefits and determine whether PAE is a covered service under your specific health plan.
• Prior Authorizations:
  • If required, we’ll handle the prior authorization process and provide supporting documentation, such as your imaging results and symptom history.
• Cost Transparency:
  • If PAE is not covered or if you’re on a high-deductible plan, we can walk you through self-pay options, payment plans, and financing resources to help you make an informed decision.

Our goal is to eliminate as many barriers as possible, so you can focus on healing and symptom relief, not paperwork.

General Tips for All Interventional Radiology Procedures

Many of the prep steps for PAE also apply to other IR procedures. Keep these tips in mind:

• Complete Medication List:
  • Bring a list of all medications you take—including prescriptions, over-the-counter meds, vitamins, and herbal supplements. Some can interfere with sedation or bleeding risk.
• Hydration Reminder:
  • In the days leading up to your procedure, stay well hydrated—drink plenty of clear fluids before your fasting window begins.
• Comfort Matters:
  • Our clinic offers optional relaxation aids, including noise-canceling headphones, calming music, and augmented reality (AR) glasses, to help you feel at ease during preparation and recovery.
• Ask Questions:
  • No question is too small. Write them down in advance and bring them with you. Our team is here to provide clarity and reassurance every step of the way.

You’re in Good Hands at North Star Prostate Center
Choosing PAE is a proactive step toward improving your quality of life. Our experienced interventional radiologists, nurses, and administrative staff are dedicated to making your procedure safe, comfortable, and successful. By following these preparation steps, you’re setting yourself up for the best possible outcome.

Want to learn more?

Hear from some of our patients’ stories and the treatment overview on our website, or explore the Society of Interventional Radiology’s guide on prostate artery embolization for more details.