Phillip L. Guichet, M.D.
UCI Interventional Radiology
Procedure Descriptions:
Prostatic Artery Embolization:
Prostatic Artery Embolization (PAE) is a minimally invasive treatment designed to alleviate lower
urinary tract symptoms caused by benign prostatic hyperplasia (BPH). BPH refers to the
noncancerous enlargement of the prostate gland, affecting approximately one in four men by
age 55 and half of men by age 75. As the prostate enlarges, it may partially obstruct
the urethra, leading to bothersome urinary symptoms. These symptoms include urinary
incontinence, increased frequency and nighttime urination, urinary urgency, and pain during
urination.
For men who are not satisfied by their medical therapy and are either ineligible for traditional
surgery or prefer a less invasive approach, PAE offers an effective solution. Via a small puncture
in the upper thigh or arm, an interventional radiologist (IR) guides a catheter to the vessels
supplying blood to the prostate. By blocking these blood vessels using tiny particles, PAE
reduces the size of the prostate gland, providing relief from urinary symptoms without the
need for major surgery.
PAE is performed as a same-day procedure, meaning no hospitalization is required. And unlike
more invasive surgical options like transurethral resection of the prostate (TURP), PAE carries a
lower risk of urinary incontinence and sexual side effects, such as retrograde
ejaculation or erectile dysfunction.
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Hemorrhoidal Artery Embolization:
Hemorrhoidal Artery Embolization (HAE) is a minimally invasive treatment for patients with
symptomatic internal hemorrhoids. By reducing the blood supply to the abnormal
hemorrhoidal tissue, HAE provides relief for patients suffering from bleeding and discomfort
from internal hemorrhoids. Studies show HAE is safe, with clinical effectiveness comparable to
surgery, low risk of complications, and high patient satisfaction.
For men and women who are either ineligible for traditional hemorrhoid surgery or prefer a
less invasive approach, HAE offers an effective solution. Performed as a same-day procedure
(meaning no hospitalization is required), via a small puncture in the upper thigh or arm, an
interventional radiologist (IR) guides a catheter to the vessels supplying blood to the
hemorrhoids. By blocking these blood vessels, HAE reduces the blood flow to hemorrhoids,
controlling bleeding symptoms and discomfort without the need for major surgery.
​
Varicocele Embolization:
Varicocele Embolization is a minimally invasive treatment for patients with
varicoceles—enlarged veins in the scrotum. Varicocele is caused by abnormal blood flow out of
the scrotum. In patients with varicocele, a diseased gonadal vein causes pooling of blood within
the scrotum. This causes scrotal pain and discomfort and can lead to low sperm counts, male
infertility, and testicular atrophy.
​
Varicocele embolization works by closing the diseased veins that are allowing blood to pool in
the scrotum. For men who are interested in non-surgical treatment or who have persistent
symptoms after undergoing varicocele surgery, varicocele embolization is an effective solution.
Performed as a same-day procedure (meaning no hospitalization is required), via a small
puncture in the neck or upper thigh, an interventional radiologist (IR) guides a catheter to the
gonadal vein and seals it closed. By closing the gonadal vein, the enlarged veins in the scrotum
return to normal size, alleviating pain and discomfort. Varicocele embolization is safe, with
clinical effectiveness comparable to surgery, low risk of complications, and high patient
satisfaction.
​
Genicular Artery Embolization:
Genicular Artery Embolization (GAE) is a minimally invasive treatment for patients with chronic
knee pain from osteoarthritis. Osteoarthritis is the degeneration of the knee joint. Years of
wear-and-tear thins the cartilage that lets our joints move smoothly. When the cartilage is
damaged, the lining of the joint—the synovium—becomes inflamed. And synovial inflammation
is a significant contributor to the knee pain experienced in osteoarthritis. By reducing the blood
flow to the inflamed synovium, genicular artery embolization reduces the pain signals from
synovial inflammation.
For men and women who seek to control their chronic knee pain but are not candidates for
knee replacement surgery or prefer a less invasive approach, GAE offers an effective solution.
Performed as a same-day procedure (meaning no hospitalization is required), via a small
puncture in the upper thigh, an interventional radiologist (IR) guides a catheter to the vessels
supplying blood to the knee. By blocking these blood vessels using tiny particles, GAE reduces
the blood flow to the inflamed synovium, dropping pain levels and helping to restore mobility.
Studies show GAE is safe, with low risk of complications and high patient satisfaction.