Posted , 12 users are following.
After consulting several doctors and getting very different opionions and recommendations, I am thinking that I would like to start by getting the least painful, least invasive treatment for my median lobe.
Any suggestions?
0 likes, 33 replies
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andrewcalgary jjjj57989
Posted
both had my MRI report for review
randy_85492 andrewcalgary
Posted
randy_85492 jjjj57989
Posted
You're very wise to pursue those criteria for treatment and that was my conclusion too...I'll have a "battery of tests" to determine the "least invasive procedure with the least complications" which I qualify for on next Wednesday, then, I'll pursue that treatment option...Right now, PAE seems my best option...
nealpros jjjj57989
Posted
Neal
WSAD-1056 jjjj57989
Posted
Dear JJJJ57989,
I had my PAE three weeks ago and already witnessing quite significant improvement in many respects. The full account is detailed the dicussion forum under a title: "my PAE treatment experience on 07 July 2016 by Prof. Martins Pisco in Lisbon, Portugal". I was the 1056th patient. I sincerely recommend you to try PAE treatment. The conventional treatments have disadvantages in one way or the other. PAE is almost risk free. In case PAE fails to work, then you can consider other procedures. This breakthrough treatment is discovered by interventional radiologist, which is already implying conflict of interest with urologists. We hope the two streams of specialist will not end up in unfruitful controversy. In particular, we hope the urologists to understand the excellent results being achieved through the PAE procedure of the interventional radiologist so that it will become a clinically approved procedure for easy access by all sufferers of BPH.
WSAD-1056
Vibes jjjj57989
Posted
PAE may be my choice due to least invasive of approved procedures.
Some patients have reported severe reaction to the dye.
There is exposure to radiation in order to guide the the mechinism through the veins.
There is possibility to inject particles into incorrect vein with catastrophic results.
Possible infection where anesthesia can be injected during procedure. I think in arm.
technical fails around 10%
Success rate 75-80%,
recurrence rate 10% estimated due to newness of procedure.
google search terms "Bagla PAE BPH"
mike588 Vibes
Posted
So it seems that everyone is saying middle lobe is not an issue? I am getting confused I thought I saw previously someone said it was more difficult for the docs.
Vibes where are you getting you data from? Has there even been one case where particles were injected in the incorrect artery? If they enter in the pelvic area it was explained to me that there was no chance stray "particles" could go anywhere dangerous. If the entry point is the wrist that would not be the case since the catheter has to travel all the way to the prostate - even so I haven't heard of any accidents. I looked up google search terms, Dr Bagla has a link to a Pisco study, 1.9% technical fails not 10%
Vibes mike588
Posted
Google "PMC4508051" The injected particles are discussed there. They block veins having defective one-way valves. I can't site an incidence of this happening - will look later.
Vibes mike588
Posted
The following discussion in this forum has a link to PSE info.
"Medium- and Long-Term Outcome of Prostate Artery Embolization for Patients with Benign Prostatic Hyperplasia: Results in 630 Patients"
mike588 Vibes
Posted
Thanks I mentioned Dr Pisco's study, I believe this is the same one.
mike588 Vibes
Posted
OK thanks I will continue check it out. So far I found a link to a Chinese study of 55 patients. The conclusion was "The prostatic vascularization is complex with frequent anatomic variations. Knowledge of the vascular anatomy of the prostate may provide indications for planning PAE and avoiding nontarget embolization."
andrewcalgary Vibes
Posted
also Google "Symptomatic improvement after prostatic artery embolization in patients with median lobe protrusion" this paper was recently presented at 2016 SIR conference in Vancouver, quoting "Clinical success was achieved in 15/18 (83%) patients"
andrewcalgary mike588
Posted
Google "Complications After Prostate Artery Embolization" look for Pdf titled
"Complications After Surgery: Spectrum - GEST 2015"
from University of Sao Paulo Medical School
mike588 andrewcalgary
Posted
nealpros andrewcalgary
Posted
There is nothing with no risk of complications, including a trip to the dentist. There also are severe risks to long term prostate symptoms and blockage, including loss of a kidney or two.
Neal