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Im a 49 year old with BPH. IPSS score about 18-20 before the procedure with a 50-60 ML prostate and a pretty large middle lobe. PSA score ranging from 3.2-3.8. Had a TRUS which was negative for cancer (1 of 14 was atypical but not considered cancerous). Also had a cystoscope which confirmed the middle lobe issue. Urologist recommended Rezum or TURP. I decided to seek out a PAE instead.
? I had a PAE done on 3/27 in Virginia. Procedure was as most people described. Within a week I was working out but had some bleeding at the site of insertion so I took a another week off. After that, I resumed my normal workout schedule (more on this later, as this is the problem). While I never felt some incredible difference on a day-to-day basis there has been a signifigant difference in my BPH. I'm down to a 8-10 range on my IPSS and it feels great to not worry about going to the bathroom. While I still have a bit of a frequency problem (I drink ALOT of water, plus coffee, etc) if I have to hold it, it's not really a problem anymore. So, as for the PAE itself, I consider it a huge success. The only side effects are two fold. 1) I think my orgasms are slightly less pleasurable. I wouldn't use the term bland, but just a little something missing. This seems to be slowly improving and not a big deal but I thought I would mention it as it's a big concern for some. 2) Every four weeks or so, I seem to find blood in my urine after a hard run (5-6 mile tempo run). After the first two I passed what I presume was a piece of prostate tissue and the issue went away after a few days. This latest time I ran hard again after a four day break and I still peed blood. I also never saw that I passed any prostate tissue but that can be hard to tell because I'n not always urinating at home into a pefectly clean toilet. Bottom line...I'm a bit concerned with this. Has anbody had any similiar symptoms? The IR Doc doesn't really know what to make of it and I am sort of dreading going back to a urologist after abandoning their recomendation. My gut tells me to take a break from running for about a week and see if the symptoms subside with 3 months (6 total after the PAE). At that point if they are still there, I will go see a urologist. Any other suggestions?
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