Has anyone out there had a "Prostate Artery Embolization??

Thanks for the overview Richard. A number of us considering PAE  watch this "board" for folks like you that have had it done and recently. Very much looking forward to your updates of your actual experience.

I hope the next two weeks does even more for you.

Lawrence06345

Hi Richard,

Where did you have your PAE done?

Thanks and good luck!

Hello Arlington, my Pae was done in Lima, Perú, by doctor zegarra in a top of the art clinic called clinica delgado.

Hello Richard, may I ask, if you don't mind, how you ended up doing PAE in Lima ?

Thanks

Andrew

I live in Lima! This is a brand new clinic with last generation equipment. Dr. zegarra and his radiologist interventionist were trained by dr. Martins Pisco in Lisbon

Hi Richard;

Do you know how many PAE's  Dr Zegarra has done?

Can you tell us what the cost was?

Thanks

Hi Chuck, really hoping you are right. It is paralizing to see blood dripping down there.

I will keep this forum informed of any progress. This discussion group really helped me the first 3 days to see that frequent urination post pae was normal.

Ha! -Don't let that scare you too much Richard. If you'd had a Turp you'd p*ss a solid stream of bright red blood every time you relieved yourself for at least a week with multiple clots. Then after a week or so of that you whiz a weird yellowish/orange color that stains everything after the blood subsides from the medicine they give you to try to calm down the bladder that is real unhappy after having a foley catheter stuck in it for s day or two. Don't let a little blood scare you and hope that this will spare you a turp. (Actually, you get used to it, but its not fun)

Lawrence04635

Hello Richatd. I hope things are improving. But when you say blood dripping from down there, Was it semen and blood mixed. or straight blood?

I had  mine back in Jan of this year and I had some complications with being allergic to the embolizing beads. And even with all of that going on, I only had some blood mixed with the semen for 3 weeks, but it was only small amounts. If you are having large amounts of blood I would seriously go back for a check up.

Hello Joe, it was semen with blood and it was not an hemorrhage but some 10 drops of fresh blood. Very impressive and frightening. I hope that lies within the 3 weeks of normal

Bleeding

Good deal Richard, thats pretty normal then, When it is mixed with the semen it makes it look a lot worse than it is. You had me going there when you said dripping lol. My doc just advised me after a few days, to "clean the pipes out ". Should be nothing to worry about.

sorry, the impression probably led me to exagerate. For me it was like the end of the world. lol.

Loots of bad staff about TURP is circulating on this forum that is totaly not throught.

TURP is solution for LUTS caused by BPH.

Everything else is just BANDAIDE.

MK: Everything else is just BANDAIDE.

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"Primum non nocere" is a part of the Hippocratic oath, meaning "above all do no harm". So yes if a "bandaid" does the job, go for the bandaid rather than an invasive operation (TURP) that invariably leaves you with sexual side effects that many here prefer to do without. 

Jim

Just on this blog alone, I see about same number who complained about something related to PAE as those who complained about TURP. This is telling us something about PAE as not perfect. To point one thing, who knows what are going to be SE looking down the road 5-10yers from now.

As any other a arterial embolization, blood vessels will develop collateral circulation and start feeding prostate again. 

I have been wearing my PAE bandaid for 1 1/2 years now. My BPH symptoms are the best they have been in 25 years. No pain, no catheter, no surgical butchering, no sexual side effects. Life is good. I will take a bandaid like this anytime. I have a friend who has had three Turp procedures in 3 years. I will take my long term results over his as well. If my prostate does eventually grow I can have PAE again or opt for the best treatment available at that time.

Mk, that could have been written by a urologist, 

I had my PAE 15, months ago. I had just about all the BPH symptoms you can imagine which were caused by a urologist in the first place.. 

I had elevated PSA. My doctor sent me off to a urologist who of course ordered a 30 core trans perineal biopsy. 

The good news was ...no cancer. 

The bad news was.....couldn't pee properly anymore cos of biopsy. 

Uro said it would fix itself in a couple of weeks...gave me Flomax. 

12 months later still couldn't pee properly.

So I started seeing a round of uro's. First one wanted to do TURP. 2nd wanted to open surgery on me. 3rd wanted to do Holep. I researched each proceedure and was horrified. The open surgery was too horrible to contemplate. TURP was just butchery with a high chance of incontinence and or impotence. Holep was marginally better. 

I was very unhappy about my options...then I discovered PAE. I had an Embolisation for a AVM (artero venal malformation) many years earlier which had saved my life, so I was familiar with and comfortable with the concept of Embolisation. 

So I had my PAE ....4 days of minor discomfort, but after that peed like a horse, no bleeding, no incontinrce, no retro. No sexual side effects except for larger penis....no complaints from the missus. 

I haven't been on this forum for a while but was shocked to see the number of posts bagging PAE with misinformation. My only take on that is that it must be a urologist inspired campaign. Their incomes are threatened by PAE. 

Listen guys, I have no axe to grind. If you want to get yourself butchered and be impotent/incontinent for the rest of your life because some greedy urologist tells you it's the "gold standard" then do so. 

My sole purpose in writing here is to save some poor guy from the horrors of TURP. 

There is a better way and that's PAE. 

MK:  Dr. Bagla has been doing PAE since 2011.  He does have statistics at the five year level.  Dr. Pisco has probably been doing PAE since 2009.  It will eventually be approved by the FDA.  The approval process for anything through the FDA is arduous.  Uterine artery embolization went through the same process.  There are more options available now for BPH.  No one on this site is opposed to a choice a person makes.  If someone chooses a TURP method, that's fine.  Some choose Urolift. Maybe TUMT (microwave).  Rezum was approved by the FDA in 2015 using steam therapy.  There are newer medications being developed. Injections directly into the prostate in the doctor's office are being developed.  People on this site are looking for less side-effects with a strong benefit whatever that procedure might be. 

Had a PAE as well after years of not being able to pee ...drip, drip... Urologist all wanted to give me the rotor rooter as they jokingly called ut...TURP.

I decided to do my due diligence as well, I read everything BHP on the web all about the horrors of the TRUP, as well as other options. Thrilled with my choice and how amazingly great the PAE is... I have a close friend...I'm God Father to his children, but never knew he was dealing with BPH. Received a call he was in the hospital, the urologist there performed a TURP on him ...this was two years ago. Today he's in the hospital ...infections. can NOT get an erection...all kinds of horrors. If you so choose to have a TURP that's on you, but know the consequences of what's real and true from what's fake and false. Always know who's who in the Zoo! A Urologist's nightmare, they'll no longer be able to corner the market on BPH, and that's a HUGE hit!

It is interesting that those rubbishing PAE (and plugging TURP) don't seem to have had it done.  I wonder if they are urologists worried about their nice income stream dropping off posting misinformation.

As one who had a PAE nearly three years ago (Southampton, UK) I can attest to its efficacy.  I used to be up 5, 6 or 7 times a night.  Now I sleep through 8 hours undisturbed. It has been life changing, and I'm grateful to the team at Southampton every day.

Of course PAE is done by interventional radiologists, not urologists.

I had two biopsies (transrectal and transperineal), both done by urologists.  After the first I got septacaemia and ended up in hospital for four days.  After the second, which the urologist botched, I got a UTI which took three months to clear and ended up with daily visits from a nurse to put me on a Gentamycin drip.

I have a dim view of most urologists, although I'm glad to say I have now found a couple of good ones.

 

Richard

Hi, can you share your experience with PAE in LIMA?

 I am planing going over there and would like to see that doctor.

Thanks