PAE on 04.13.2017

Thank you for sharing

Seems like u didn't have a good outcome but could've been for so many reasons...u are not a good candidate or it was not performed well or complication. But there are hundreds of patients including myself who had a great outcome and from what I have read, the data is good from the centers who have published papers. The other procedure left have much higher risks and may make u worse off. Hope the Holep works for u

Sorry to hesr about your difficulties. When I reviewed all of the oprions to treat BPH I selected iTind because it presented the fewest number of complications of any procedure I could find. It has a low downside risk potential. It was the least invasive in that it does not cause much trauma to surrounding tissue. It is the gentlest procedure that I could find.

I was in at 10 AM, procedure took 5 minutes, in recovery for 3 hours and then went home. The implant was not painful but I did have some stinging during urination but that lasted only 30 seconds at a time. The implant was removed 6 days later. That was uncomfortable for about 15 seconds and then wonderful relief. Like a pebble removed from your shoe. I could urinate normally almost immediately. Instead of running to the men's room 18 times a day with great urgency I was going only 6-8 times a day and could delay the need to go for about 1/2 hour. My bladder finally felt relaxed.

The two main downsides are nobody knows how long the effects last and it might not be aggressive enough for some men's prostate or bladders. I hear it works in 85% of the cases but there have been no cases of incontinence or sexual dysfunction that I know of. It has been in use for 5 years in Israel and the EU with nobody having a repeat procedure so we know it lasts five years.

Of course everyone's body is different so i advise seeing at least three different unrelated urologists to hear whatr they say. Some specialize in one or two techniques so that is what they will recommend of course. I had the good fortune to go to a top urologist in New York City at one of the top hospitals in the country so things worked out for me.

Irp,  I'm sorry about your poor outcome.  

Please reconsider identifying your doctor.  It might not be his fault, or it might be due to his technique, equipment or in not screening your properly.

If this forum has helped you, then you should help others to avoid what happened to you.

Sorry you had problems, PAE didn't work for me but I DO have the median lobe issue, I don't know if that is the reason though.

If you are having burning chances are you have an infection - did you get it tested for infection? UTI or even Prostate?

I don't agree with you, PAE might work for some, but it's too chancy. There are other new methods being developed which will probably overtake it.

Having said all that hopefully it's too early for you to know whether your procedure was a success, I wouldn't give up hope it can take another few weeks at least.I think you should go to a Urologist and get them to teach you how to self cath as a precaution.

Hello I also had a poor outcome from a PAE done in Jan 2016. And I had a lot of the same symptoms you are having. I had a heck of an infection, and also severe prostate inflamation. Unfortunately my PAE Doc was 8 hours away from me.

My advice would be to get to your primary care doc, or a urologist willing to treat you. Most will not after you have had complications from  a procedure they do not do. But you should really get on a good long course of antibiotic, and prednisone ASAP. Mine was so bad I had to get 3 injections of Rocephyn plus the oral antibiotics. And now even a year later I have lots of inflammation, thst will most likely never go away.

good luck to you buddy.

Hello Irp1 - I am very sorry to hear about your problems. I had a PAE done last summer and I was told I was the perfect candidate. Sure enough the procedure itself went perfectly but I never had a moment's relief from my BPH symptoms. Fortunately too I never had any problems from it too. It was like I never had it done except for the loss in my bank account.

I have heard of problems like yours if the doctor got too aggressive and embolized too close to your rectum and bladder. This can happen if the beads are too small in an effort to embolize close to the urethra where most of the BPH lives.

To check this you should get a multi-parametric 3T-MRI to see if there was any embolization of rectum/bladder tissue.

Good luck to you.

Neil

I had PAE done last Sept.  

I had great relief for 4 weeks then I returned to how I was before the procedure.  

Fortunately I had no adverse effects except for being minus a few thousand $$$.

My opinion. PAE is a very radom treatment. First, the IR cannot predict how or where the atrophy will occur in the gland and to what success it will provide symptom relief. 

Second, Atrophy does not and cannot occur that quickly in the tissue. The fact that the Lawyer he told you about had first day results was more than likely the results of steriod medication given the frist week of the procedure and it provided relieve from the reduction of inflamation. It works at first but not for long. Atrophy is just like what happens with a broken bone that is in a cast. It takes weeks at minimum for the reduction of the tissue to happen and again, they have no way to control where, how much or how uniform the atrophy happens in the gland. Everyone is different. 

Third, your vessels will grow back rather fast and around the blockage created by the procedure.

I chose FLA ( Focal Laser Ablation) also from a IR and it was very successful as the focus is precise in the removal of tissue and it is real time "eyes on" without damage to any of the sexual componet of the prostate. And, they do not enter the Urethra in this procedure. I am very happy with my results. The key to the success it in the selection of the Doctor one uses for the procedure. 

I did mine in December with a 125cc prostate and life has been great again for the last 3 months. 

In investigation of the HOLEP it was just too destructive to the sexual componets of the gland for me. 

I wish you good luck and suggest you look into FLA.

My friend, you had this procedure 24 days ago.  No claims on understanding how a PAE works.  That said, the perfusion (oxygenated blood flow along with nutrients) has begun to stop due to hemostasis.  What happens when blood flow is stopped?  Imminent necrosis.  Right now, it sounds like the symptoms you're describing are due to necrotic processes at work.  That is what's MEANT to happen, and it's nothing to be feared. The human body is a marvel because, while one part of your anatomy is necrosing, other compensatory processes are in play.  There is remodeling going on.  Your vasculature is being rerouted.  You haven't even begun to reap the rewards.  All of us want immediate results.  Human nature I suppose.  Give the procedure time - a LOT of time if necessary.  Now having said all this, I would most definitely keep the IR in the loop.