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I am 58 years old, few years ago I had massive amounts of blood in urine and semen as well as typical urinary problems associated with BPH. I had two cystoscopy, numerous scans, four months taking duodart with no improvement. The second urologist told me that I have a friable vascularized prostate which is bleeding.
My prostate was only 40cc in size. I entered a clinical trial and had a PAE done which was not successful. After six months I had another PAE which solved the urinary problems and rid me of any bleeding for two years. However, after just over 2 years the blood has returned in both urine and semen. There is only occasionally a very small amount sometimes at the beginning of the urine stream but a reasonably significant amount always in the semen. The interventional radiologist told me that this was likely as the body would adapt and new branches would grow to provide a blood source for the prostate. So now I am left with a choice. Put up with it a and always wear a condom forever or have a procedure for example laser which will possibly rid me of the blood but give me RE. Which is the least worst option? If I do decide on a procedure to be done then which type of procedure or laser would have the lowest chance of RE and ED? I have been advised that a third PAE is not a safe option. Your opinions and advice would be appreciated.
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