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I have been suffering from BPH symptoms for quite a while. I began seeing a urologist due to rising PSA values which turned out to be low risk prostate cancer which is being managed through Active Surveillance. To treat the BPH symptoms I was taking two Flomax a day plus Gemtessa which is an overacitve bladder drug. Even with medication my BPH symptoms were annoying at best. My urologist suggested that the next step in treatment was either Urolift or TURP. I have heard mixed results for Urolift and the spinning blades, blood, pain and catheters associated with TURP weren't attractive.
Through some research, I learned of a procedure called PAE or prostatic artery embolization where an interventional radiologist inserts a catheter through a vein in the wrist or groin and blocks the two arteries that deliver blood to the prostate, causing the prostate to shrink. I had this procedure about 3 1/2 months ago and the results have been amazing. It is done as an outpatient procedure; you are in the hospital for about 5 hours including prep and recovery. It is done under sedation, not anesthesia, it is entirely painless and there are no aftereffects. I began to see results after about a week, and now I am peeing like a teenager, my urgency problems are gone, my nightly bathroom trips have gone from 4 or 5 to 1 or two and I am no longer taking any medications for BPH.
You won't hear about this procedure from your urologist. It is done my an interventional radiologist so the urologists don't make any money doing it. It is covered by Medicare. If you aren't yet on Medicare, be sure your insurance will cover it because it is expensive.
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