Has anyone out there had a "Prostate Artery Embolization??
Posted , 210 users are following.
I had one on September 10th, 2014 and would love to compare notes with anyone else that has had one. Thank You. ChuckP PS Some people just call it a "PAE" for short.
8 likes, 2499 replies
ChrisRed ChuckP
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Thanking you for your help
Kind
Regards
Chris
william79680 ChrisRed
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life is good.
johnboy4150 ChuckP
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Lawrence06345 ChuckP
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I haven't had a PAE yet but am considering one by Dr Bagla in Alexandria VA. Has yours worked well for you now that its almost 2 years since you had yours done? Who did yours by the way?
Tx! Lawrence
Camster Lawrence06345
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jjjj57989 Camster
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My problem is also an enlarged median lobe but my IR and urol think I'm an excellent candidate for PAE so your lack of sucess if of concern to me.
Thanks.
arlington jjjj57989
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Camster: don't give up yet - I'm hoping you'll see some progress before the 6 month post-op period ends.
Godd luck to you both!
Lawrence06345 Camster
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Camster Lawrence06345
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It is all about configuration of the prostate enlargement. Size is not equal to symptomology. One can have a large prostate and urinate okay.
You would have to get an image study like an MRI for Dr. Bagla to see.
PAE is not specifically targeted to the obstruction. It is overall reduction of the prostate. Outcomes are hard to predict.
jjjj57989 Camster
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PAEdoc jjjj57989
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arlington PAEdoc
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Camster jjjj57989
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Camster jjjj57989
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Camster PAEdoc
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greg35632 Camster
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arlington Camster
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Camster arlington
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jjjj57989 Camster
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jimjames arlington
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Why is "catherizing for 14 months" a "strike"? Was it a Foley or self catherization?
JJ
Camster jjjj57989
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william79680 greg35632
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ramakant16481 william79680
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I had the post PAE ultrasound last week which shows PVR of 250 ml even with daily dose of Tamsulosin (400 mcg every 18 hours). The urologist I consulted for a seocnd opinion has warned me about possible kidney damage. This may be it for me - off to TURP. I had a pretty close shave with kidney damage about 3 months ago, with an eGFR of 41 (stage 3). It's just a matter of few weeks now, will have to give up on my attempts to avoid TURP.
bob120 ramakant16481
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Thanks for posting. Sorry your PAE didn't bring any results so far. Did you have a pre-PAE and recent ultrasound to determine if there was any shrinkage of the prostate as a result of the PAE?
A pvr of 250ml is definitely leading to problems. I also got to the point that tamsulosin no longer worked for me after a few months. After two greenlights and a turp in just 4 years, my problem is that the prostate grows too fast. Prior to my turp in April 2015 it was 300g. After the turp it was 203g., and during the turp the remainder of the median lobe protruding into the bladder was removed. That median lobe was somewhere between 25g and 40g. on it's own. I presently have no luts symptoms at all and a pvr of 34ml, but have been taking dutasteride for the past 8 months to keep the prostate from growing. Due to other health issues I haven't gotten around to having the prostate measured again with a sonogram, though it was my intention to measure the size and pvr every 6 months.
Depending on the size of your prostate the turp recovery time can be anything from a few days to 6 weeks or so. My symptoms of extreme urgency went away after a couple of weeks, but the blood in the urine and the pain after urination lasted about 6 weeks. Recovery time for both greenlight lasers lasted 8-9 weeks. A good feature of the turp is your urologist can send removed tissue to the pathologist to check for cancer. Another thing to check after the turp is your hemoglobin count and iron values. It took about 9 months for my hemoglobin to get back into normal range and my iron never did. But my situation was that the turp was done to stop a massive hematuria of the prostate, requiring emergency surgery and 8 pints of blood. A last point is that although there are different opinions on this I found the retro ejaculation to be a non issue for me. I can't say it diminished my pleasure in any way.
ramakant16481 bob120
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Part of the reason I posted is that TURP as an option seems to be heavily criticised in this thread. Thanks for replying with your encouraging results from TURP in spite of the blood loss from the surgery. The uro has warned me of the risk of bleeding. My prostate was about 60 cc pre PAE. Yet to get detailed results of the recent scan.
To my thinking it might be hard to visualise and block arteries to the median lobe which protrudes into the bladder without risk of embolising the bladder. That might account for the dismal success rate of PAE in this situation.
Hopefully having smaller prostate size will reduce the bleeding risk in TURP for me. Fingers crossed.
I guess TURP being the only way out for me, I have to start mentally preparing for it, much as I hated the possibility.
andrewcalgary PAEdoc
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seen extending into the bladder neck, Dr. Bagla told me he can find a separate artery leading to the enlarged lobe and embolize it, and get good results, has anyone heard this before?
Camster andrewcalgary
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andrewcalgary Camster
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