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I learned a lot from this message board so now it’s my turn to give back. I’m 65 years old and have been having BPH symptoms for several years now. Never was in retention but nighttime urination was pretty poor. Symptoms were weak stream, hesitancy, frequent urination and sometimes urgency. Prostate size confirmed by MRI was 104cc with an enlarged median lobe. Had a PAE done in Miami with Dr Bhatia. Total time at the outpatient facility was about 4.5 hours including the 2 hour recovery time. The procedure itself was only 45 minutes. It was virtually painless and cool to watch on the screen. Dr said everything was very straightforward with no complications. He was able to target both sides AND the median lobe and told me my results should be excellent. He had no problems whatsoever getting to the proper arteries and that my median lobe wasn’t as big as the MRI reports said it was. Also said that because I was never in retention and my PVR’s were low, I shouldn’t need a catheter after the procedure. While in recovery extreme urgency was already setting in. They put a condom catheter over your penis ( NOT a foley IN your penis) before the procedure so if you had to pee during the procedure you can just go without disrupting the procedure. It was left on in recovery so you didn’t have to keep going to the restroom. Even though I had extreme urgency in recovery it was very hard to void and I had to push really hard to get it out. That extreme and constant urgency along with frequency (every 25-45 minutes) continued throughout the day and into the evening. By evening, I was voiding only about 10ml each time and it was very hard to push out. When it worsened to just dribbles, I panicked and went to the ER thinking I was going into retention. ER found I was only retaining 12ml of urine, instructed me to keep drinking liquids and taking the drugs the IR prescribed. So no catheter was needed and I went home. With constant extreme urgency along with frequency, sleeping was impossible but voids were getting larger in quantity so at least things were going in the right direction. No pain at this point.
First Day after PAE; Extreme urgency continued through the morning then started subsiding in the afternoon but frequency continued. By evening the urgency was almost non-existent but frequency was still there. Voids were getting up to 75-125 ml. Still no pain.
2nd day after PAE; Woke up in the middle of the night with extreme and constant urgency. That continued throughout the morning then subsided in the afternoon. Frequency was between 30-60 minutes but some voids were getting up to 125-180ml. At night I got up twice, didn’t measure voids but they were substantial. Still no pain
3rd day after PAE; Got a decent nights sleep. Extreme urgency was gone when I woke up and when I felt the need to pee I actually had substantial voids. I stopped recording void volumes but they were mostly substantial. Hesitancy on some of the nighttime voids was still there.
4th day after PAE; Got a good nights sleep. I think I was up twice during the night to void. Again, when I felt the need to pee I had good voids and a decent stream.
I will continue update as things change but will answer any questions you have. My advice for anyone considering PAE is to find a doctor who has ALOT of experience and I sure wouldn’t have wanted to get on a plane the first 3 days afterwards.
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