BPH Treatment in San Antonio, TX

Minimally Invasive Treatment for Enlarged Prostate Symptoms

Benign prostatic hyperplasia (BPH), or an enlarged prostate, can gradually disrupt your daily life. Frequent bathroom trips, weak urine flow, and interrupted sleep aren’t just frustrating — they can impact your quality of life, energy levels, and confidence.

If you’ve been told that medications or surgery are your only options, it’s important to know there may be a minimally invasive alternative.

At Ally Vascular & Pain Centers in San Antonio, our board-certified interventional specialists offer advanced, image-guided BPH treatment designed to shrink the prostate and relieve symptoms — without major surgery.

What Is BPH (Enlarged Prostate)?

BPH is a common condition in men as they age. By age 60, about half of men experience prostate enlargement, and by age 85, up to 90% are affected.

As the prostate enlarges, it presses against the urethra, restricting urine flow and making it harder to fully empty the bladder.

Common symptoms of BPH include:

  • Frequent urination
  • Weak or interrupted urine stream
  • Urgency to urinate
  • Difficulty starting urination
  • Straining during urination
  • Waking up multiple times at night (nocturia)

While BPH is not cancerous, its symptoms can progressively worsen without treatment.

Our Advanced BPH Treatment Options

At Ally Vascular & Pain Centers, we focus on minimally invasive, outpatient solutions that target the underlying cause of prostate enlargement.

BPH Treatment Options

The best enlarged prostate treatment for you depends on your symptom severity and how much your condition is affecting your daily life.

Medications may help relax prostate muscles or slow growth, but they often require long-term use and may cause side effects.

Traditional procedures such as TURP or laser therapies remove or destroy prostate tissue. While effective, they are more invasive and may involve longer recovery times and potential complications.

At Ally Vascular & Pain Centers, we provide Prostate Artery Embolization (PAE), a minimally invasive treatment for an enlarged prostate that helps you regain normal urinary function — without the risks of traditional surgery.

Understanding the PAE Procedure

Prostate Artery Embolization (PAE) is an advanced, image-guided procedure that reduces blood flow to the prostate, causing it to shrink naturally over time.

Instead of removing prostate tissue, PAE targets the source of the problem — the blood supply feeding prostate growth.

PAE is performed right here, in our vascular clinic, using advanced imaging technology for precise, targeted treatment.

  • A tiny catheter (about 1 mm) is inserted through the wrist or groin
  • The physician navigates to the arteries supplying the prostate
  • Small particles are delivered to reduce blood flow
  • The prostate gradually shrinks, relieving pressure on the urethra
  • As the prostate decreases in size, urine flow improves, and symptoms begin to resolve.

Most procedures take about an hour, and patients typically return home the same day.

  • No major surgery or incisions
  • Outpatient procedure in our vascular clinic — no hospital stay
  • Performed under light sedation (no general anesthesia)
  • Minimal downtime
  • Preserves surrounding structures
  • Improves urinary symptoms and flow

Patients often begin to notice improvement within days to weeks following treatment.

  • Improved urine flow
  • Reduced urgency and frequency
  • Better sleep with fewer nighttime trips
  • More complete bladder emptying

Up to 90% of patients experience significant symptom relief after PAE.

Are You a Candidate for BPH Treatment?

You may be a candidate for minimally invasive BPH treatment if you:

  • Have moderate to severe urinary symptoms
  • Have not found relief with medications
  • Want to avoid or delay prostate surgery
  • Are looking for a minimally invasive option with faster recovery

A consultation with an enlarged prostate doctor at our vascular clinic will determine the best treatment approach based on your symptoms, imaging, and medical history.

What to Expect at Your Consultation

Comprehensive Evaluation

We review your symptoms, medical history, and prior treatments.

Imaging & Diagnosis

Advanced imaging helps confirm prostate enlargement and guide treatment planning.

Personalized Treatment Plan

We develop a customized plan focused on relieving symptoms and improving your quality of life.

Why Choose Ally Vascular & Pain Centers in San Antonio?

Choosing the right provider for BPH treatment matters — especially when precision and experience directly impact your results.

Board-Certified Interventional Specialists

Our team specializes in minimally invasive, image-guided procedures, with extensive experience treating vascular and prostate conditions.

Patient-Focused Care

Rather than relying solely on medications or invasive surgery, we offer advanced, minimally invasive solutions that target the underlying cause of prostate enlargement — helping relieve symptoms while preserving normal urinary function.

Proven Experience with PAE

Dr. Rao has over a decade of experience performing Prostate Artery Embolization and was among the first physicians to introduce this treatment in the region. In 2012, he performed the first PAE for BPH in the Texas/New Mexico area, demonstrating a long-standing commitment to advanced, minimally invasive care.

Finally Get Relief from BPH Symptoms

You don’t have to keep planning your day around the nearest bathroom — and you don’t have to jump straight to surgery.


At Ally Vascular & Pain Centers, we offer a minimally invasive approach that targets the underlying cause of BPH — helping you regain control, improve urinary function, and get back to your normal routine.

Call (210) 660-5040 or fill out our online form to see if PAE is right for you.

Frequently Asked Questions About BPH Treatment

Yes. PAE is a well-established, minimally invasive procedure performed using image guidance to improve precision and reduce risks.

One of the advantages of PAE is that it typically preserves sexual function, unlike some surgical treatments.

Coverage varies by plan. Our team will verify your benefits and explain any potential costs before treatment.

PAE does not remove prostate tissue. Instead, it reduces blood flow to the prostate, causing it to shrink naturally over time. This means no surgical incisions, lower risk of complications, and a faster recovery compared to traditional procedures like TURP.

Many patients begin noticing symptom improvement within a few days to a few weeks after PAE. Urinary flow, frequency, and urgency typically continue to improve as the prostate gradually shrinks over time.