PAE presentation in Washington today.

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A successful trial in Portugal is being followed up in Britain, with results due back later this year. If successful it could be rolled out for routine use on the NHS.

Joao Martins Pisco, who led the study at St Louis Hospital in Lisbon, said: 'Within five years I think this will replace surgery as the standard treatment.

The Portuguese team, which will present its findings at the Society of Interventional Radiology in Washington DC today, concluded the procedure is as effective as surgery and the benefits may last as long. 

Link to article describing Dr Pisco's presentation:

https://www.sirweb.org/advocacy-and-outreach/media/news-release-archive/news-release-SIR2017_PAEStudy/

 

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  • Posted

    This is good news. I hope to have this done instead of the other choices out there. Very few if any side effects. My Urologist is still old school IE TURP and PSA tests only and TRUS biopsy if PSA is high, we need to change this and as patients we can influence our doctors by not accepting the mainstream treatments. They used to be the standard, but things change and they need to keep up. I would never opt for a Biopsy that was blind, nor would I have a TURP for my enlarged Prostate. I have been waiting for this and it looks like I will make it.
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    • Posted

      Note that he said as with other procedures "The procedure is as effective as surgery and the benefits may last as long" .It seems that nothing is forever as far as the prostate is concerned.

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    • Posted

      Agree with all you wrote. Also multi parametric MRI on 3 Tesla machine may replace many biopsies in the future. Lord willing.

      I'm also looking into PAE in hopes of avoiding TURP.

      Uro surgery may be the answer for high Gleason score localized PC.

      BPH options seem much more difficult to make.

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  • Posted

    That's fanatastic, the science works. I'm considering it also(PAE)...It's treating the symptoms though, not the cause. It's like putting a heart stent in,  it works but doesn't address the cause. The absolute best thing would be a treatment that stops BPH to begin with. The Gat Goren procedure seems to do that.  Both PAE and the GG procedure are done by radiologists. Wouldn't it be great if one procedure could do both things at the same time? Instant relief with PAE and months later permanent relief when the T levels to the prostate drop... Probably not necessary to do both but it's interesting. The good thing is PAE and FLA and other treatments can be done now and when the GG procedure becomes common and covered by insurance hopefully that also can be done to treat the cause. I'm going to check with other fertility Dr's for the procedure and to see what's possible as far as insurance coverage before I decide on a treatment. I have gotten some good tips from other guys on here.

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    • Posted

      I tried to link a medical journal article on the GG procedure. Perhaps the mods removed it.

      I was thinking as I read the journal piece that GG does get to the root cause. If testosterone cannot be converted to DHT in the prostate then hyperplasia cannot take effect.

      PAE may be effective based on studies to date, but it does not address the root cause. Neither, of course, does TURP, TUNA, HoLEP, etc.

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  • Posted

    At last! Although I was going to have a PAE in Guys Hospital, London aprox 3 wks ago & it was found my artery also fed my bladder which if they had gone ahead would have been become damaged, & I would have been much worse off than I am now. So it is not for everyone. Looking now at FLA as an option as well as BPH I have low grade Gleeson 6 cancer so could sort both things out at the same ttime. They have been trialing it in the UK but it's only now been reported in the press as if it's some really new thing. 

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  • Posted

    I've put the link RichP was posting/describing in the initial discussion and also added the Daily Mail link to Derek's post rather than having loads of comments to find these.

    Regards,

    Alan 

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