Prostate Artery Embolization Specialist

Goke Akinwande, MD -  - Vascular and Interventional Radiologist

Midwest Institute for Non-Surgical Therapy

Goke Akinwande, MD

Vascular and Endovascular Specialist located in St. Louis, MO, Farmington, MO & Swansea, IL

If you’ve been diagnosed with benign prostatic hyperplasia (BPH), prostate artery embolization can relieve uncomfortable symptoms and improve your quality of life. At Midwest Institute for Non-surgical Therapy (MINT), Goke Akinwande, MD, performs prostate artery embolization on an outpatient basis. To make an appointment, call the office in Creve Coeur (St.Louis), Farmington, or Swansea, IL, or schedule online today.

Prostate Artery Embolization

What is prostate artery embolization?

Benign prostatic hyperplasia (BPH) is a common condition that occurs when men get older. The prostate enlarges and blocks the flow of urine that comes out from the bladder. This can cause severe urinary symptoms that can affect quality of life. 

Prostate artery embolization (PAE) is a minimally invasive procedure that treats benign prostatic hyperplasia by slowing down the blood flow to the artery that feeds the prostate. This causes the prostate to shrink, thereby relieving the urinary symptoms.  The procedure is quick, virtually pain-free, and provides lasting treatment outcomes. Patients leave the procedure with a small bandaid.

Am I a candidate for prostate artery embolization?

To determine if you’re a candidate for prostate artery embolization, your Midwest Institute for Non-Surgical Therapy provider conducts a physical exam and asks about your symptoms, including when they started, their severity, and if any activities, like drinking caffeinated beverages, make them worse.

If these measures don’t provide enough insight into your condition, your provider might order additional tests like urinalysis, MRI, PSA test or an ultrasound of your prostate gland and bladder. These screening procedures can pinpoint the source of your symptoms and help your provider develop a treatment plan.

What does prostate artery embolization involve?

At the Midwest Institute for Non-Surgical Therapy, prostate artery embolization occurs on-site on an outpatient basis.

At the beginning of the procedure, your provider administers moderate anesthesia. A small “pinhole” incision is made in the wrist or the groin. Then, a small catheter is directed into the artery supplying the prostate. After positioning the catheter, your provider injects a series of microspheres into it. The microspheres go through the catheter and reduce blood supply to your prostate. This is called embolization. The process is then repeated on the other side, through the same incision. 

Following treatment, your prostate begins to shrink. Remarkably, the prostate does not die, it just gets significantly smaller in size.  Most people experience a reduction in symptoms within 24-48 hours. Over a six month period, the prostate shrinks up to 40%, which results in improved urinary symptoms.

Is prostate artery embolization safe?

Prostate artery embolization is safe and usually well-tolerated. In the first few days following your procedure, it’s normal to experience “post PAE syndrome.” Post PAE syndrome is characterized by nausea, a mild fever, and frequent urination. Take your medication as prescribed and closely follow your provider’s recovery instructions.

According to the published data on PAE, most men (approximately 75-80%) experience satisfactory results after the procedure. 

To learn more about prostate artery embolization, make an appointment at the Midwest Institute for Non-Surgical Therapy by calling the office or scheduling online today.

Why may prostate artery embolization be the choice for you?

PAE may be beneficial for these reasons:

    • Symptoms of enlarged prostate that does not respond to medications.
    • Patients that do not want surgery.
    • Patients who are not candidates for surgery.
    • Patients with large glands, who can not get TURP, Rezum, Laser or other prostate surgeries
    • Patients who want a simple outpatient procedure, with little to no downtime. 
    • Patients who do not want adverse effects like urinary incontinence, infertility, decreased sexual function and premature ejaculation

How do I pay for this procedure?

The procedure is covered by some insurances, including medicare. We also provide payment plans. 


Dr. Akinwande

Medical Director

Dr. Goke Akinwande (Dr. A) is an extensively published, board certified leader in minimally invasive procedures. His training at prestigious institutions such as the University of Pittsburgh Medical Center (UPMC) and the Johns Hopkins Hospital, as well as his prior faculty position at Washington University/Barnes Jewish Hospital provided him the best foundation and ability to deliver optimum care to his patients. He has delivered presentations nationally and internationally and trained several medical students, residents and fellows. Dr. A believes in compassionate evidenced based medicine and is proud to provide this service to the community. Dr. A’s core practice is rooted in increasing patient education and awareness, reducing health care disparities and improving access to care.

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The Prostate center at MINT is St. Louis first and only outpatient center to offer PAE treatment for Benign Prostatic Hyperplasia (BPH). Ask us about PAE treatment today!

At MINT we put patient convenience as our highest priority. We truly believe in compassionate and evidence based medicine. We have 3 convenient locations and we will be adding more in the future. Sometimes, we are contacted by patients that live very far away. For those patients, we provide access to telemedicine so that we can perform the entire initial consultation at your place of convenience. Call us today to schedule a visit or telemedicine consultation. You can also request an online consultation.

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