Prostate Artery Embolization BPH Treatment in Men: Office Procedure in New York and New Jersey

by Alex Shteynshlyuger MD

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  

We offer affordable prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.

What is Prostate Artery Embolization?

Prostate artery embolization is a procedure designed to block the arteries that supply blood to the prostate.  By cutting off blood supply to the prostate, the prostate tissue dies off (or undergoes necrosis and resorption). The end result is that the prostate shrinks in size.  Prostate artery embolization can be performed for the treatment of prostate bleeding but more commonly performed for the treatment of BPH symptoms in men with an enlarged prostate.

How Effective is Prostate Artery Embolization for Treatment of BPH in Men?

It appears that prostate artery embolization has good efficacy in published studies for the treatment of men with an enlarged prostate.  However, it is important to understand that studies that have been published have numerous limitations, including the fact that many have a high dropout rate after treatment.  A high dropout rate means that patients do not follow-up after the procedure; as a result, it is impossible to verify whether these patients have improved or had severe complications.  Often, men who do not see clinical improvement and those who experience severe complications do not follow up with the same physician and seek a second opinion elsewhere.

Where to Get Enlarged Prostate Treatment in NYC?

At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men.  Same-day virtual video appointments and in-person appointments are available.

Call/text today: 1-646-663-4044 or make an appointment online.  

We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office.  We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting.  We treat urinary and erection problems. We offer confidential appointments.

Our appointment costs are affordable with or without insurance.  We offer free insurance verification.

What are the Different Ways to Embolize the Prostate Gland?

The prostate gland gets blood supply from the right and left branches of internal iliac arteries.  Prostate embolization can be achieved by embolizing both prostatic arteries on right and left side or by embolizing only one side.  Typically, studies show that the embolization of both prostatic arteries results in higher clinical success rates of prostate artery embolization.

The PERFecTED technique for PAE: Two-step embolization technique where after initial administration of microspheres (beads) that are 100-500 micron (1/1000 of a meter) made of hydrogel or polyvinyl alcohol (PVA), the catheter is pushed deeper in, and additional microbeads are administered.

Traditional embolization technique: is a one-step prostate artery embolization technique where the catheter is not advanced further into the prostatic artery for the second dose of microsphere administration.  It appears that the traditional technique is less effective than the PERFecTED technique.  For technical reasons, sometimes only traditional techniques can be accomplished.

Use of different embolization materials: embolization can be achieved using coils (not commonly used for prostate artery embolization). Microbeads are the most commonly used material for prostate artery embolization, typically using a 2.7F (very tiny and narrow) catheter.

How does Prostate Artery Embolization Compare to Urolift?

No study has directly compared prostate artery embolization to the Urolift procedure.  Based on the indirect comparison, the Urolift procedure is associated with fewer risks and complications than prostate artery enucleation.

How Does Prostate Artery Embolization Compare to Bipolar TURP?

In the study comparing TURP and prostate artery embolization, the TURP procedure resulted in somewhat better urine flow than the PERFecTED technique for PAE.  The original embolization technique is less effective than the PERFecTED technique for PAE. (Carnevale et al 2016) .  Patients after TURP had more short-term complications but the clinical success of TURP surgery was somewhat better than of prostate enucleation with 4% in the TURP group and 9% in the PAE group not improving after treatment.    Clinically TURP and prostate artery embolization, and particularly when performed using bilateral PERFectTED technique results in similar improvement in symptoms as measured by the AUA symptom score.

Risks and Side Effects of Prostate Artery Embolization.

The prostate is a part of the urinary tract and is often a harbinger of infection.  After prostate artery embolization, necrosis of prostatic tissue, which is the desired effect of prostatic artery embolization, predisposes to increased risk of infection within the prostate and formation of a prostatic abscess.  Because of the risk of infection, antibiotic prophylaxis is often prescribed after the procedure.

  • Dysuria: 9%-15%
  • Urinary infection: 7%
  • Blood in urine: 5% 
  • Blood in semen: 0.5% (but likely higher as many patients may not ejaculate after the procedure for a while)
  • Urinary retention: 10-20%
  • Rectal bleeding: 3%

Embolization of Prostate Tissue Can Cause Flu-like Symptoms.

Prostate artery embolization is associated with small risks of hematomas, pseudoaneurysms, and nonselective embolization of adjacent organs as well as other organs.

Men may experience pain, urethral burning, and urinary frequency after prosthetic artery embolization, possibly related to non-targeted embolization.

Patients may experience pelvic pain and discomfort, perineal, suprapubic, rectal, urethral, and testicular pain.  Men can also experience frequent urination, a sensation of incomplete bladder emptying, and ejaculatory pain.  Some men experience nausea and vomiting, as well as febrile symptoms due to post embolic inflammatory syndrome (PES).  This occurs in about 10% of patients.

Superior rectal artery connects to the branches of the prostatic artery in as many as 30% of patients.  This can cause ischemic damage to the rectum, rectal pain, blood per rectum, and other rectal side effects such as erosions, fistula, or abscess.

Radiation Exposure During Prostate Artery Embolization

Fluoroscopy, a type of radiation to visualize the arterial supply to the prostate, is used during prostate artery embolization.  Studies report procedure time from 1 hour to 2 hours and the radiation exposure rate as measured by fluoroscopy time anywhere from 30 minutes to 1 hour.  This is a large amount of radiation. Long-term repercussions are not known, but at higher doses, radiation to the pelvis can increase the risk of bladder cancer and rectal cancer.

How Successful is PAE for BPH Treatment?

It is important to understand the difference between technically successful prostate artery embolization, which simply means that embolization was performed as planned, and clinically successful embolization.   Clinically successful embolization means that embolization actually helped the patient with his symptoms.  A technically successful embolization may not be clinically successful if patient symptoms are not improved after PAE.

Technically successful prostate artery embolization can be performed in around 90% of patients with bilateral embolization.  Unilateral embolization appears to result in the lower clinical efficacy of prostatic artery embolization.

Based on published studies, it appears that the benefit of prostatic artery embolization is durable for more than a year.  Few long-term studies have been published with patients who underwent prosthetic artery embolization.

Clinically studies suggest that 75-80% of patients benefit from prostate artery embolization, with the benefit persisting to 3-6 years.  With unilateral embolization, success is lower, around 50% in terms of symptomatic benefit.

Studies Demonstrate That Prostate Artery Embolization Is An Effective Treatment Option For Men With Enlarged Prostate.

PAE shows good efficacy in reducing the urinary frequency in men with IPPS scores going from 24 to 8 (-16) in a large study of patients who underwent PAE.  Similarly, the urinary stream can be expected to improve significantly, with peak urinary flow (Qmax) improving from 8.5 to 17 (+9) ml/second.

Bladder Ischemia after Prostate Artery Embolization

Bladder wall ischemia after prostate artery embolization is a reported complication of PAE.  Management of bladder wall ischemia is complicated and individualized but may require surgical treatment or conservative management under close monitoring in select patients. 

It appears that there is no significant detrimental effect of prostate artery embolization on sexual function. However, studies have not been performed with the specific intent of evaluating the sexual and ejaculatory function.

Who are Not Good Candidates for PAE?

Patients with severe atherosclerosis or vascular disease have a higher risk of failure of PAE.

Some extremely rare complications have been described, such as septicemia and thrombophlebitis of the pelvic veins, sometimes associated with a pulmonary embolism that can even result in death.

How Soon can Prostate Artery Embolization Be Performed?

PAE for BPH is not currently FDA approved for the treatment of a man with BPH and the United States. Most insurances do not cover the cost of prostate artery embolization for the treatment of enlarged prostate.  PAE is available through some institutions as part of the studies.  Commercially available PAE requires out-of-pocket payment for the procedure.

What Are  My Options Right Now For Treatment Of Enlarged Prostate?

For patients suffering from symptoms of the enlarged prostate such as slow urine stream, urinary urge, frequent urination, and waking up at night to urinate, procedures such as Urolift procedure and Rezum procedure are currently available in the United States and have similar efficacy and safety profile as iTind.  These procedures are performed in our offices at New York Urology Specialists.

For men with very large prostates, laser enucleation of the prostate using MOSES Holmium laser (MoLEP) is a good and effective treatment option.  Aquablation provides effective treatment, similar to HOLEP.  Our surgeons are experienced in performing laser enucleation of the prostate.

Did you know? Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP.  He performs over 100 prostate procedures a year.

Cost of Enlarged Prostate Treatment without Insurance

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Rezum procedure.  The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Urolift procedure.  The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. 

Cost of Treatment and Insurances

Inexpensive Urologist Visit Cost At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

We accept many health insurance plans.  We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage.  Financing options and credit options are available to help you pay for medical care.

Read Real Stories of Men who Underwent Treatment of Enlarged Prostate (BPH) at New York Urology Specialists

We offer treatment for prostate problems, including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries.  Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.

Why Choose New York Urology Specialists for Treatment of Enlarged Prostate Problems?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
  • We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
  • We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.  
  • Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.  
  • We also offer laser surgery for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What do Prostate Problems Look Like?

You can find images of uroflow as well as before and after treatment images in our image gallery.

Scheduling Appointments for Enlarged Prostate Treatment at New York Urology Specialists

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  We offer weekday, weekend, and evening office hours.

Patients Reviews

Overall Rating:


Total Ratings


Total Reviews



Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
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Accurate Diagnosis:

best urology doctor
by on Feb 14, 2021

Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.

solved my problem with ED
by on Jan 29, 2021

Dr. Shteynshlyuger helped to solve my problem with ED

Very Pleased
by on Jan 21, 2021

Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S

recommend Dr. Shteynshlyuger
by on Jan 04, 2021

Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.

No pain at all
by on Nov 25, 2020

This was a very fast and easy process. No pain at all and the job was very well done. He stays on top of your progress and helps to heal faster. I will definitely recommend Dr Alex at all times!!!

Great place
by on Nov 09, 2020

Very friendly staff, A great experience from the front desk to seeing the doctor. Dr.Shteynshlyuger is very professional and makes you comfortable when you’re in the room. He answers every question with detail. Great place..

I would highly recommend it to anyone
by on Oct 11, 2020

I saw the reviews about this place and was very hesitant to go but something was telling me to go with them and I don't regret it at all, the doctor did a great job and helped me understand the process plus the staff was amazing I would highly recommend it to anyone! quick story after the procedure I was in soo much pain and called the office on a SUNDAY, the doctor gave me a call back within 15 minutes and prescribed a stronger medication, to me that meant a lot for the doctor to take time from his day on a Sunday to help me.

successful procedure
by on Aug 20, 2020

To Dr. Shteynshlyuger and your assistants and aids, thank you guys for a successful procedure. I'd refer you to others for your compassionate, knowledgeable, attentive service and indepth follow up care.

very friendly staff
by on Apr 12, 2020

excellent doctor and all very friendly staff

2 years free of any UTI
by on Apr 09, 2020

This urologist has helped me for my constant UTI’s He gave me a few tests, diagnosed the problem and now I’m 2 years free if any UTI. A kind, intelligent, caring doctor LucretiaLaMura

Doctor Shteynshlyuger provided me with the care I needed
by on Mar 11, 2020

The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.

Patient review
by on Jan 24, 2020

Thank you doc !!!
by on Aug 14, 2019

Great doctor, good bedside manner and always felt comfortable talking to him and the staff. Great location and affordable prices. Thank you doc !!!

What went well

Appointment scheduling Office environment Staff friendliness Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisions

by on Jul 18, 2019

Therefore I would like to recommend you to anyone who need your services.

Urology Visit
by on Jul 18, 2019

Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

by on Jul 15, 2019

I was very satisfied with the rezum surgery.

by on Jul 09, 2019

Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!

Care at NY Urology Specialists
by on Jul 06, 2019

I am a 54 year-old male who is extremely happy with my care at New York Urology Specialists. I came to see Dr. Alex out of near desperation after consulting with three other urologists. Literally over one night, I began experiencing severe penile pain and burning. None of the other urologists were able to help diagnose what my problem was and seemingly didn't take my problem very seriously. In fact, one of them specifically told me at it had nothing to do with my prostate. After 6 weeks of suffering, I saw Dr. Alex. He examined me and gave me some tests and lab work. He very quickly ascertained that my problem was due to an enlarged prostate. He proscribed medicine to deal with my pain in the short-term and keep my prostate size in check over the long-term. My problem quickly disappeared. Today, 5 years later, I feel great. Dr, Alex listens to you as a patient, takes your opinion and health concerns seriously and knows his field inside-and-out so that you can get proper treatment for your problem. I can't thank him enough for diagnosing and solving my malady - you sometimes can't appreciate a problem until you have it. Getting rid of it and getting back to normal is so important - I am so glad that I saw Dr. Alex for my problem.

Highly grateful
by on Jun 18, 2019

Dr. Shteynshlyuger is a very patient, understanding and caring doctor. I came to take opinion on my father’s treatment going on in my home country. Highly satisfied from his responses. He even responded to so many of my queries through patient portal . Highly grateful.

My experience
by on Nov 08, 2018

I had a Rezum procedure done a couple of months ago and now my symptoms have improved and quality of life has significantly changed. The Doctor and staff are excellent and I am very satisfied with the services - the surgery and post care. Would highly recommend Dr. Shteynshlyuger.

Rezum procedure
by on Oct 24, 2018

I have been a patient of another Urologist for years, with no positive results. Then I learned about Dr. Alex Shteynshlyuger through a TV newscast. I immediately decided to have a consultation with him. Best decision I ever made!!! Dr. Alex performed the Rezum procedure and has literally changed my life. I highly recommend Dr. Alex and his staff to anyone who wants the most caring, capable and result oriented urological medical care. Thumbs up to Dr. Alex and staff!!!!!!!!!

First class Surgeon & staff
by on Sep 24, 2018

From the very appointment to the last follow-up visit, I felt I was at the right place and with the right people around me. Dr. Alex Stheynshlyuger and his staff made it easy and confortable. I would recommend them to every man.

Friendly , courteous, effiecient and professional
by on Sep 15, 2018

Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex

Satisfied Patient
by on Sep 15, 2018

I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex

Surgical Procedure
by on Sep 01, 2018

Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee

by on Aug 16, 2018

Outstanding service

A very good doctor
by on Aug 15, 2018

Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense

urology services
by on Apr 11, 2018

I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.

by on Nov 19, 2017

I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.

Dr visit
by on Sep 14, 2017

I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.

Urination problem
by on Aug 25, 2017

Thank you New York Urology Specialists for helping with my problem. The doctor and the staff are great!

Worth the wait
by on Nov 15, 2014

I went to see Dr. Shteynshlyuger for a second opinion about a urinary problem after having a continuing issue for many months that wasn\'t getting better. He seemed very knowledgeable. I highly recommend him. Cons: If you\'re not the first patient the wait can be LONG.

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

My cramps and burning are gone
by on May 23, 2013

Dear Dr. Alex – Since starting the [treatment], my cramps and burning have mostly gone. The biggest benefit is my leaking has been reduced to the lowest amount in almost 10 years. Charles M. Date: 2013

Thank you for excellent care
by on Jan 07, 2013

Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013

We appreciate all that you did to help my dad
by on Sep 17, 2012

Dear Dr. Alex – I just wanted to write you a note to thank you for all of the care you have gave to my father during his illness. We appreciate all that you did to help my dad through his illness. We wanted to be sure to let you know how much it meant to us. Sincerely Joanne R.

We love you!
by on Feb 16, 2012

Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.

Urinary Problems Are Treatable in Nearly Every Man and Woman


At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of urinary problems caused by enlarged prostate and BPH in men.  We understand the challenges that urinary problems such as a slow stream, waking up at night, pain in the penis and perineum create for our patients, their relationships, and their self-esteem.  We help you find a treatment for your urinary problems that fit your needs, lifestyle, and your preferences.

Urologists are doctors specializing in the treatment of men with symptoms caused by prostate enlargement, including frequent urination, poor urine flow, frequent UTI, blood in urine, urinary incontinence, urinary problems caused by an enlarged prostate, prior surgery, neuropathy, chemotherapy, and radiation. By virtue of our experience and skill, we can offer an effective treatment option for nearly every man and woman who desire an effective treatment for their urinary problems.  We offer medical and surgical treatment for men’s prostate problems.

We specialize in minimally invasive, highly effective treatment for symptoms of bladder pain, urethral burning, pelvic discomfort, incomplete bladder emptying, urinary frequency, and urgency.

We Treat Some of the Most Complex Men’s Health Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of urinary problems in men.  He uses modern, effective, and proven treatment methods, including Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.  

He has successfully treated hundreds of men with BPH with symptoms of frequent urination during the day and excessive urination at night.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.

If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance. 


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