If you had to choose between Urolift or PAE....
Posted , 18 users are following.
Hi all,
It is looking more likely that I may need some 'intervention' regarding my enlarged Prostate after being on medication for several years.
I was just wondering if you had a choice of Urolift or PAE which you would choose and why?
Any advice from those of you who have personal experience of either procedure would be greatly appreciated.
Apart from the above does anyone have a positive experience of TURP? My main worry with that is incontinence.
Thanks and take care.
0 likes, 21 replies
derek76 stephen54687
Posted
We have had reports of problems with both procedures. I still don't understand Urolift. The tied back prostate must still grow.
Having had trouble free GL PVP and Thulium/Holmium laser procedures over the years. I would have either again or HoLep. HoLep needs a longer learning curve than GL but saves tissue for histology if that is a concern.
jjjj57989 stephen54687
Posted
Trustme jjjj57989
Posted
peter45673 jjjj57989
Posted
joe74831 peter45673
Posted
Hey Peter. did Dr K do your FLA? If so have you talked to them since the hurricane hit Houston? I emailed them last week, to get the dates he had available in October, and did not get an answer back yet. I was just wondering if they were damaged.
Also did insurance cover any of yours? I turned in a Pre-authorization request to BCBS and they indicated that they would cover it out of network, Dr K said not to hold my breath on getting reimbursed from them tho. Just curious if anybody else had any luck with insurance.
Thanks
peter45673 joe74831
Posted
Good luck.
Pete Kline
HONG KONG
joe74831 peter45673
Posted
Joe
ramblin stephen54687
Posted
I had PAE - didn't work for me and it was very expensive. I am now considering UROLIFT. TURP is a non-starter for me.
paul29249 stephen54687
Posted
Urolift was my first choice but didn't work so I got a Holap at Mayo,2 months ago,pee great but still need to go when I get urge, Hope to get better with time
joe74831 stephen54687
Posted
tjcal stephen54687
Posted
I had Urolift 4 months ago. So far so good. I had bladder stones w/ some bleeding along with bph--69 cc prostate. Treatment and recovery was easy. Done in outpatient surgical center with iv sedation. Propofol. Good flow. Not much urgency or leakage. Up once or twice a night. No sexual issues. But having said all those positive things I am concerned about how long it will last. As
Someone said prostate continues to grow. I know it can be redone if situation is right. I'll just have to wait and see and enjoy it while it works.
I don't know anything about PAE other than reading about it. It wasn't offered to me by my Urologist.
All the best
Tom
stephen54687 tjcal
Posted
I take it that you have not had any problems regarding incontinence following the procedure as that is one of my main worries regarding TURP.
Take care,
Steve.
derek76 stephen54687
Posted
tjcal stephen54687
Posted
No incontinence. In the first month or so I would have very slight leakage. A few drops when I really needed to urinate. But not any more. And that
Little bit wasn't any big deal. Good luck.
Tom
bernard68450 stephen54687
Posted
I am 61 years. Come from a remote country called Sri Lanka (Ceylon). As I learned from comments given in various forums .. FLA procedure has given very good results and minimum adverse side effects. I assume that cost is very high. In my country, only option available is TURP. So I decided to go for TURP after two acute retention events.
Here, the total cost was around 2000 US$. I was with catheter for two days and on 3rd day it was removed. After about one hour catheter was removed and removal I could empty my bladder and flow was very strong. After 3 times of emptying I was discharged. Reddish colour of urine and few drops of blood at the beginning of urinating was there for two weeks. Also mild discomfort existed for about 3 weeks. Onr month after surgery I was asked to see the Dr. with reports from uroflowmetry, US scan, urine report, K, Na levels and biopsy. Dr. said everything was OK. It's great relief and success but RE is the only negative effect.I assume RE will be there for rest of my life.