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For Patients

You Have Options

Many conditions once treated with open surgery can now be treated through a pinhole — in a physician's office, often with same-day recovery. Learn what's possible, then find a specialist near you.

Knee arthritis pain

Genicular Artery Embolization (GAE)

Also called knee embolization

A minimally invasive procedure for chronic knee pain from osteoarthritis. Through a pinhole in the skin, a physician guides a tiny catheter to the small arteries feeding the inflamed knee lining and reduces their blood flow — calming the inflammation that drives pain. It may be an option for people whose knee pain isn't controlled by medication or injections, or who want to delay or avoid knee replacement surgery.

No surgical incisionTypically home the same dayWalk in, walk out
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Enlarged prostate (BPH)

Prostatic Artery Embolization (PAE)

An alternative to prostate surgery

A treatment for urinary symptoms caused by an enlarged prostate — frequent nighttime urination, weak stream, urgency. A physician threads a tiny catheter to the arteries supplying the prostate and blocks some of their flow, which shrinks the gland over the following weeks. It's performed through a small puncture in the wrist or groin, with no incision in the urinary tract.

No urinary-tract incisionPreserves surrounding anatomyTypically home the same day
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Hemorrhoids

Hemorrhoidal Artery Embolization (HAE)

Also called the Emborrhoid technique

A newer option for symptomatic internal hemorrhoids that haven't responded to conservative care. Rather than operating on the hemorrhoids directly, a physician reduces the blood flow that keeps them swollen and bleeding — all from inside the blood vessels, with no rectal incision and no wound to heal.

No rectal surgery or woundLittle to no post-procedure painQuick return to normal activity
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Leg pain & poor circulation

Peripheral Artery Disease (PAD) treatment

Angioplasty, stenting & atherectomy

PAD is a narrowing of the leg arteries that causes pain when walking, and in advanced cases wounds that won't heal — a leading cause of preventable amputation. Outpatient endovascular specialists reopen those arteries from the inside using balloons, stents, or plaque-removal devices, restoring blood flow through a pinhole in the skin. If you've been told you may lose a limb, a second opinion from a vascular specialist is always worth seeking.

Limb-saving when caught earlyNo open surgery for most casesTypically home the same day
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1

Consultation

You meet the physician in their office, review your imaging and history, and decide together whether a minimally invasive option fits your situation.

2

A same-day procedure

Treatment happens in an office-based lab or surgery center — not a hospital admission. Most procedures use light sedation and a pinhole-sized entry point.

3

Recovery at home

Most patients go home the same day with a small bandage, and follow up with the same physician who treated them — no hand-offs between strangers.

This page is educational — it isn't medical advice

Every condition and every patient is different. Only a physician who has examined you can tell you whether a treatment described here is right for you. Use the directory to find a specialist and bring your questions to that conversation. If you are experiencing a medical emergency, call 911.

Ready to talk to a specialist?

Search OEIS member physicians by condition, procedure, and location — and contact their practice directly.