Goa, June 13, 2025: In a significant breakthrough in the management of prostate disorders, Dr. Charudutt Sambhaji, Senior Vascular and Interventional Radiologist at Manipal Hospital, Goa, has successfully treated two patients suffering from giant prostatic hyperplasia (GPH) using a minimally invasive, non-surgical technique known as Prostatic Artery Embolization (PAE).
A normal prostate weighs less than 20 grams and is about the size of a walnut. In contrast, giant prostatic hyperplasia is a rare and extreme form of benign prostate enlargement where the gland can grow beyond 200 grams, severely affecting urinary function and quality of life.
Traditionally, such large prostates require open or robotic surgery or Transurethral Resection of the Prostate (TURP), which are associated with risks such as bleeding, urinary incontinence, retrograde ejaculation, and extended recovery time, particularly problematic in elderly or medically unfit patients.
Dr. Charudutt Sambhaji, who brings over 21 years of experience in vascular and interventional radiology, performed Prostatic Artery Embolization—a state-of-the-art, image-guided procedure that selectively blocks the arteries supplying blood to the prostate, leading to gradual shrinkage and symptom relief. The treatment is performed via a small puncture in the groin or wrist under local anesthesia, without the need for general anesthesia or surgical cuts.
“Both patients had prostates measuring over 200 grams and were unwilling to undergo major surgery. Following PAE, they showed remarkable symptomatic improvement and resumed daily activities within days,” said Dr. Charudutt Sambhaji.
Compared to TURP, Prostatic Artery Embolization offers key advantages:
- Minimally invasive
Performed under local anesthesia
- Minimal risk of bleeding
- Preservation of sexual and urinary function
- Short hospital stay and rapid recovery
One of the treated patients, a 72-year-old gentleman, shared his experience over a follow-up telephonic conversation: “Within seven days, I was back to my normal routine. I could pass urine easily for the first time in years. I’m completely relieved, and there’s no more sense of incomplete bladder emptying. This treatment changed my life without any surgery.”
Prostatic Artery Embolization is an emerging interventional radiology solution with growing global acceptance. The success of these two challenging cases positions Manipal Hospital, Goa, as a leader in offering advanced, non-surgical solutions for even the most complex urological conditions.
