Rena Malik, MD Podcast Moment: How Prostate Artery Embolization Shrinks an Enlarged Prostate! | BPH Treatment
Oct 22, 2025
Dr. Aaron Fischman, an interventional radiologist specializing in minimally invasive BPH treatments, shares intriguing insights on prostate artery embolization. He explains the differences between using particles and medical-grade glue for embolization and discusses advances in imaging techniques that enhance procedure safety. Dr. Fischman emphasizes the importance of patient evaluations and outlines impressive success rates, with rapid improvements in symptoms. He also addresses potential risks, including minimal sexual side effects, providing listeners with valuable information on this transformative treatment.
AI Snips
Chapters
Transcript
Episode notes
Particles Vs. Medical-Grade Glue
- Prostate embolization traditionally uses microsphere particles that clog arteries and are mixed with x-ray dye for visibility.
- Dr. Aaron Fischman suggests medical-grade cyanoacrylate (glue) may permanently seal vessels and reduce long-term symptom recurrence.
Choose Experienced Operators With Advanced Imaging
- Seek operators who use advanced in-room imaging and low-radiation equipment to precisely map prostate arteries.
- Prefer physicians who perform the procedure frequently and can visualize complex pelvic anatomy well.
Get A Full Urologic Evaluation First
- Get a full urologic workup before embolization including CT, uroflow, ultrasound, post-void residual, and PSA.
- Avoid proceeding if the interventionalist or clinic skips objective testing because it raises failure risk.