Does anyone know if a HoLeP procedure can be as easily and safely performed after a PAE procedure
Posted , 10 users are following.
Does anyone know if a HoLeP procedure can be as easily and safely performed after a PAE procedure if it subsequently found PAE hasn't been effective in treating a very large prostate.
0 likes, 19 replies
MK51151 ben_87928
Posted
It is known and confirmed multiple times even on this forum that this procedure is just bandaide and it failes in the first 6-9 months in about 97%.
Procedure itself is very expensive, performed by radiologists who are not trained in urological problems and is still just EXPERIMENTAL.
I would not take my Mercedes Benz to Chevy shop to be fixed.
I am wondering why guys are taking their prostate to radiologists?
Would anyone with heart problems take their heart to orthopedist?
I would not?
MK
tgt111 MK51151
Posted
MK sounds like a urologist. Nice plug there...Happy or satisfied people tend to not say as much as dissatisfied people when it comes to reviews. So you're not getting the true picture on these kinds of sites.. PAE looks like new gold standard for BPH treatment. Getting the PAE, doesn't preclude any future procedure, according to Dr. Bagala.
ben_87928 MK51151
Posted
Thanks for your input. I'm actually intelligence gathering.
As yet I haven't actually undergone any of the two procedures which I mentioned.
I'm very surprised indeed at the 97% failure rate you quoted, Could you let me know please where that statistic came from?
Regards,
ben_87928 tgt111
Posted
Most grateful for your input. Very true observation about happy satisfied people saying less than the dissatisfied. Something that I think most sensible thinking people take on board and would very much agree with. Particularly the case I would say though when reading forum posts…
I'm pleased your information comes from the excellent and extremely experienced Dr. Bagala.
ed70868 ben_87928
Posted
uncklefester ed70868
Posted
And like most other procedures sometimes it just doesn't work.
ben_87928 ed70868
Posted
Very grateful for your reply. Delighted to hear you are pleased with your PAE result. From past reading on this forum about PAE, I believe that you are substantially in the majority. That's why I'm currently looking PAE as a possibility.
As you sensibly point out , always check out the Doctor Outcome success rate for the procedure.
May I ask the size of your prostate when you had PAE. Mine is 140cc considered somewhat extra large I believe!
ed70868 ben_87928
Posted
is the location of the arteries to the prostate since sometimes the same aritereis supply the neck of the bladder and in one case the colon. The other reason for rejection is the health of the arteries themselves. I am sure there probably are a few other reasons to reject someone but thiese are the two major ones.
ben_87928 ed70868
Posted
Would you know if they can tell from a previous recent contrast used mpMRI T3 ones suitability for a PAE procedure. Or Is it a case of only knowing the answer regarding suitability when the PAE procedure has started?
ed70868 ben_87928
Posted
ben_87928 ed70868
Posted
I'm once again grateful for your further input ed.
Last night I did further online research into the PAE system.. And although reading several related reports it doesn't specifically answer my initial enquiry. The online information does significantly suggest you are correct in that an MRI would be required and used by the PAE Interventional radiologist practitioner group to verify suitability for the procedure.
Incidentally, unless you've already guessed, I'm in the UK and I'm not covered by private insurance.. Procedures like HoLeP and PAE unfortunately at present aren't financed by the state run NHS medical system. I believe a PAE procedure in The UK the total bill is typically in the region of £10k . Presently I'm not sure about the HoLeP procedure cost. Given hospital recovery time, I suspect the bill could be even greater than £10k!
Just out of interest, if your Medical insurance would cover a further MRI, why not get scanned again to check what reduction in size the procedure has achieved for you.
ben_87928 ed70868
Posted
ed70868 ben_87928
Posted
ben_87928 ed70868
Posted
That's interesting. Comparing similar procedure costs here in the UK, I would say what your insurance covered is quite cost-effective.
Actually before I close my question, I have to admit I did suspect, at least to an extent, that your insurance wouldn't cover the cost of another MRI if it didn't relate to some kind of further prostate associated problem.
Yes, Lisbon is an option I've not entirely ruled out as yet. Many thanks Ed for your reply.
uncklefester ben_87928
Posted
I'm don't think there is anything about PAE would prevent you having HOLEP down the road
ben_87928 uncklefester
Posted
Thanks. As I'm sure most would agree, it's always best to have a reserve if the first doesn't work.
I should add not that it's a definite PAE will be My first choice!
I suspect however there might be a number of variables involved with the PAE procedure which will be dependenton as to the exact answer to my initial post enquiry.