Dismissed by urologist after he learned I had had a PAE and an FLA

So I am coming up on 2 years post FlA and 3 years post PAE? Neither of which done me me much if any good. Several months after the FlA I developed retro grade ejaculation, as well as difficulty maintaining erections.

I had another 3 T MRI performed and ordered by DR K earlier this year. DR Busch so no signs of cancer, and other than the large median lobe he saw no major obstructions.

When I ejaculate, or try to,it feels like there is a blockage of some type in the urethra. And the same feeling when I try to start my stream, which is very weak.

SO I read about a new urologist at TN Valley urology, who performs rezum. I thought well he is young and progressive and will st least be open minded.

I took all of my MRI results with me for him to,review, as well as other tests I had done. Also,when I scheduled the appointment I specifically stated I wanted a cystoscopy.

After listening to me for less than 5 minutes, and No physical exam at all, he stated I have no way of know what sort of laser was used in you, and most likely the nerve bundles were damaged. I told him DR Karamanian assures me he didnt get anywhere near the nerves or ejaculatory ducts. He basically shrugged and said well apparently something went wrong.

So I asked again about the scope, and he said sure we can do one but the physiology of,your prostate has been changed and other than showing the median lobe its not going to,tell us anything. So I said well it feels to me like the blockage is in the urethra and not the prostate so I would,prefer to have one. He said well you will need to make another appt for that.

As we were walking out the door I asked if the rezum could not be used to remove the middle lobe and he just said no. You would need a turp for that.

So the bottom line is if you have some of these newer procedures NOT done by urologists you can forget ever getting any help from them for future problems. My take is if you have some of these other procedures, and have problems later, you are better off not to even tell the urologist you have had them done.

I left feeling totally let down, and money and time wasted.

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