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

2499 Replies

Prev Next
  • Posted

    Chuck, I haven't had it, but there are one or two guys on the Healingwell "Gat-Goren" forum who have had it.  One posted a detailed update about a week ago.
  • Posted

    You are evidently one of the early ones. This is from the Southampton University Hospital web site. It sounds a promising method.

    " PAE is a non-surgical way of treating an enlarged and troublesome prostate by blocking off the arteries that feed the gland and making it shrink. It is performed by an interventional radiologist, rather than a surgeon, and is an alternative to a TURP (trans urethral resection of prostate) operation. PAE was first performed in 2009, and since then over 200 men have had the procedure performed predominantly in Portugal and Brazil. University Hospital Southampton has been offering a PAE service from April 2012 and is the first UK centre to perform this procedure"

    • Posted

      This is exactly why I had this particular procedure rather than a turp or something else that is more invasive.   Unfortuanately it has been about 2 months and a week with no good results.  I still get up 4 times a night and that was the problem I was trying to correct.  Some of these other procedures really scare me alot.  Iam concerned about having to wear a "catheter", impotence,  reverse ejaculation, etc etc.
    • Posted

      I am considering having PAE at the same INOVA hospital. Besides not having improvenent of symptoms  any side effects?

      Was the procedure painful? How was the recovery?

      My prostate is 47ml and the median lobe is pressing into the bladder. Was it your case as well?

    • Posted

      I am considering having PAE at the same INOVA hospital. Besides not having improvenent of symptoms  any side effects?

      Was the procedure painful? How was the recovery?

      My prostate is 47ml and the median lobe is pressing into the bladder. Was it your case as well?

    • Posted

      Hi Stan;  Sorry for being so "tardy" back to you.  My prostate was twice the size of a normal one according to Dr. Sandeep Bagla my surgeon at Inova Hospital in Alexandria, Virginia.  My symptons are and continue to be getting up to the bathroom 4 to 5 times nightly.  This is why I had this surgery done.  It didn't work for me plain and simple.  I had the surgery on Sept. 10th and have not seen any improvement.   Lots of pain the first and second day.  Peed blood for about 4 to 5 days.  What he does is blocks the arterys and veins that lead into the prostate and it is suppose to shrink the prostate by 20 to 25% anywhere from 30 days to 6 months after the procedure.  I did not have any problems getting and keeping an erection before the surgery but now that is a "new problem" that has arisen after this procedure.  I guess you can color me not impressed with the results.  For the record I was number 116 PAE procedure done by Dr. Bagla.  He's a great guy but if I could do things over I would not do this procedure. 
    • Posted

      ChuckP, have you tried something like Viagra to see if that helps?
    • Posted

      Yes Mike88486 I do use 100mg of viagra and it does work quite well. 
    • Posted

      ChuckP, do you know how much your prostate shrunk if any?  Also, have you read Ron Bazar's book on prostate health?
    • Posted

      Hi Mike;  No I don't have any idea how much my prostate has shrunk. The only way to find that out would be to have a second MRI which costs about $5,000 and I know that BC-BS would never authorize it if all I was wanting to find out how much it shrunk.  No, have not read Ron Bazar's book.  Is it worth reading????   Iam not being critical just asking an honest question.  Is he a surgeon or Urologist????  Don't know if I told you but in all truthfullness Iam not happy with the results of my "PAE".   My sex life is great but Iam still getting up between 3 or 4 times a night.  Got no real results in that area. 
    • Posted

      Your urologist could do a simple procedure called a TRUS.

      Prostatic volume estimation by transrectal ultrasound is a common clinical procedure. Uses include pre-treatment assessment of prostate size, interpretation of elevated prostate specific antigen (PSA) levels (PSA density) and, in the field of research, measurement of the effects of prostate shrinking drugs.

    • Posted

      The book is pretty good.  The guy is not a surgeon or urologist but he solved his BPH without surgery.  You might find some helpful info in it.
    • Posted

      Hi, could you tell me the name of the book? Thanks
    • Posted

      Hi Chuck, Thanks for that info. Were you in a clinical trial when you had the PAE done?

      Thanks for the info?

    • Posted

      Hi Mike, This book sounds very interesting,how to solve BPH without surgery. Whats the name of the book?

      thanks

      frank, 

       

    • Posted

      Hi Chuck

      It seem you and me among the very few people who didn't achieve much improvement after PAE. You mentioned that your IR doctor blocked the arteries and the veins that lead to the prostate while the procedure blocks only the arteries. Are you talking about Vascular problem you had in addition to prostate enlargement?

      If it was Vascular problem your IR doctor should have told you. Have asked your IR doctor why your PAE procedure didn't work and what should you do next step or perhaps he told to give it some more time and the results would come. That is what I heard from my IR doctor and I am waiting

      FJ

    • Posted

      I also had a PAE from Dr. Bagla in Virginia. Plain and simple it didn't work for me either, going to pee sometimes 7-9 times a night. But never had an erection problem, they wanted me to do another but I went to several other urologist as well as radiologist and after having a scope I was told my median lobe had grown into my bladder and developed a flap. A PAE wouldn't cure that problem, my only choices were a HOLEP or a robot going through my abdomen...I chose the HOLEP. PAE will Not work for everyone.

    • Posted

      It worked for me. You cannot take anti histaminics or sleeping pill from over the counter and you cannot exceed the sexual contacts to more than twice a week.

      I don’t get up at all at night

    • Posted

      Hi Mike. 

      He claims he did but 'did he really'. Lots of con artists out there. John

    • Posted

      Bagla failed to work with me too. Investigating other alternatives. He did my procedure in 30 minutes and was boasting that I was the fastest procedure he had ever done. I think he did a s****y job because he had a hot date or someplace else to be that afternoon and raced thru the procedure so he could be there on time.
    • Posted

      Bagla did not work for me either. I'm 3 months out and absolutely no improvement what so ever.

    • Posted

      U may have other issues besides just bph. There is not absolute fix for everything. It worked for me and Dr. Bagla is great imo. He teaches all the docs how to do the procedure too. Maybe u should check back with your doc to make sure ur not dealing with somrnjf else 
    • Posted

      Seems like ur a doubter but worked for me. The papers I read also say it works in most and doesn’t mess with your erections. At least u ddidnt get worse like with surgery or stuck with pain. 
    • Posted

      You don't have to sell me on Sonny Bagla, he's an awesome radiologist and a better man. I know him better than most, we text and talk to each other often. He's been my motivation and confidant through out my prostate journey. He was my first call after my procedure, not only are he and I writing a book together but I'm

      blessed to call to him friend! Just thought I'd share my experience with others on here, i've done that. Knowledge is king, Thank you for your feedback and concern.

    • Posted

      Six days ago you were trashing Bagla and now you are saying that you both are best friends, confidant and writing a book together?

      I guess some people here need a psychologist not an urologist

    • Posted

      Never trashed Sonny, only my experience with him. Don't and won't to get into this with you again

      ...but you go on and live your life according to your finger print. I know him well enough to be honest with him where my issues were concerned, What's cake for some people is cornbread to others! Your comments regarding therapy is small and juvenile, But wish you well ...done!

    • Posted

      I too have great regard for Dr B and his staff. I had a PAE about 18 mos ago with him. While the results are not as good as I had hoped, I have been able to stop taking tamsulosin or cialis, which is a wonderful result.

      Might I inquire as to what the book you are collaborating with him on will be about?

      Rich

    • Posted

      ?3  ss3234  ChuckP

      8 days ago

      I also had a PAE from Dr. Bagla in Virginia. Plain and simple it didn't work for me either, going to pee sometimes 7-9 times a night. But never had an erection problem, they wanted me to do another but I went to several other urologist as well as radiologist and after having a scope I was told my median lobe had grown into my bladder and developed a flap. A PAE wouldn't cure that problem, my only choices were a HOLEP or a robot going through my abdomen...I chose the HOLEP. PAE will Not work for everyone.

    • Posted

      Wait, what? You can't have sex more than twice a week? When? During recovery or forever? 

      Why is that? 

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.