Rena Malik, MD Podcast: Optimizing Health, Sex & Relationships with Science Backed Tips from Leading Experts How One Simple Procedure Can Save You from Prostate Surgery Forever | Prostate Artery Embolization
Aug 29, 2025
Dr. Aaron Fischman, a Professor of Interventional Radiology at Icahn School of Medicine, shares insights into prostate artery embolization, a groundbreaking, minimally invasive treatment for enlarged prostate. He discusses how the procedure works, its impressive success rates, and what patients can expect during recovery. The conversation highlights advancements in imaging technology, the importance of expert evaluation, and the benefits of this innovative approach in improving men's health while reducing surgery risks.
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How Embolization Treats BPH
- Embolization intentionally cuts blood flow to the prostate to shrink it and relieve obstruction.
- Interventional radiologists steer tiny catheters into prostate arteries and embolize both sides to achieve effect.
Prefer Wrist (Radial) Access
- Choose radial (wrist) access when possible because it reduces bleeding risk and improves patient comfort.
- Expect light sedation, same-day discharge, and walking out soon after the ~1-hour procedure.
Ask About Embolic Material
- Ask your operator which embolic they use and why, since materials affect durability and recurrence.
- Consider centers using liquid embolics (medical-grade glue) aiming for more permanent vessel occlusion.