Enlarged prostate: understand every option, including PAE.
Benign prostatic hyperplasia (BPH) means the prostate has grown larger. It is common as men get older and it is not cancer, but it can make urinating slow, frequent, or hard. This guide explains the condition and every way to treat it, so you can talk with your doctor about all of them.
Written and reviewed by Varun Danda, MD, interventional radiology resident physician. Every page cites its sources.
Understand an enlarged prostate
Start here if you were just told you have BPH.

Your tests
Treatment options
Medicine, image-guided procedures, and surgery, side by side.
Compare options
PAE compared with other procedures
Spotlight: prostate artery embolization (PAE)
PAE is done by an interventional radiologist. A small catheter goes through an artery in the wrist or groin to the prostate, and tiny particles slow its blood supply. The prostate shrinks, which can ease urinary symptoms. Read how PAE works.
Cost and preparing for your visit
Know what to ask, and what your plan may cover.
Cost and coverage
Questions for your doctor
Finding a specialist
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Common questions.
What is BPH?
Benign prostatic hyperplasia (BPH) means the prostate has grown larger. It is common as men get older. It is not cancer, but it can press on the tube that carries urine and make urinating harder.
Does an enlarged prostate always need treatment?
No. Mild symptoms are often watched over time. Treatment is usually for symptoms that bother you or for problems such as not being able to urinate.
What is prostate artery embolization (PAE)?
PAE is a procedure done by an interventional radiologist. A small catheter is passed through an artery in the wrist or groin to the prostate, and tiny particles slow its blood supply. The prostate then shrinks, which can ease urinary symptoms.
How do I find out if PAE is an option for me?
Ask your urologist about all of your options, or ask for a referral to an interventional radiologist for a PAE consult. Bring your PSA results and any prostate imaging reports.
What if my symptoms feel urgent?
Go to the nearest emergency department if you cannot urinate at all, or if you have fever and chills with painful urination.