PAE with Dr. Bagla on 03.27.17

Posted , 9 users are following.

Well it's finally happening, after much research and great help from the men on this forum, I'm heading to VA for PAE with Dr. Bagla. I will try to keep a journal here for everyone.

I am almost 70, and have been dealing with LUTS almost certainly caused by BPH. My prostate when measured by 3T MRI about a year and a half ago was 98 cc. No telling what it is now. I have been on tamsulosin for a little over 2 years, at first daily, and in the past several months every other day because the side effects are quite difficult to for me to deal with. During the 24 hrs after I take a pill, my LUTS are greatly diminished. The next 24 hrs the LUTS return in full force: great frequency and urgency for long stretches, dribbling, and great difficulty in passing urine the first time I wake at night. Up 2 to 4 times a night depending to some extent whether or not I have taken the pill that afternoon. Don't really have other tests or info about the "before" condition, but feel free to ask away. The IPSS score is rather erratic due to the every other day regime with the meds.

 

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  • Posted

    Best of luck with the procedure. I am considering either PAE ( probably down in North Carolina due to cost even though I am in DC) or FLA.

    Please keep posting about your experience.

    Rick

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  • Posted

    Hi rich, what side effects that you experience with tamsulosin ? Hank

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    • Posted

      Hi Hank,

          Not super common, but it does happen: sinus congestion so bad that at times I cannot sleep, just completely clogged up. And a persistent cough caused by post nasal drip. Switching to every other day reduced the severity, but on the day I take the pill it still happens to some extent.

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    • Posted

      Hi rich, did you ever try to take half of the dosage every day ? It is what I am doing with doxazosin (tamsulosin's cousin). My side effects when taking full dose (8mg) is dizziness, especially after standing up, and low blood pressue. So I am now taking 1/2 dose which is 4mg. Hank

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    • Posted

      Hi rich, PAE is also my first choice right now if I decide to go for it. FLA seems to give better result but the post-op suffering is much more than PAE. Hank
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    • Posted

      I was told by more than one medical professional that the tamsulosin pills cannot be safely split in two, and they don't make a smaller dose pill. That had been my first thought also, but since I heard this from several sources, I trust that that is accurate.

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    • Posted

      I also considered FLA, but the track record is pretty slim at this point, and the post op does seem more difficult. With that said, if the PAE doesn't work for me, I would still consider FLA. I had wonderful conversations with Dr. Karmainian, the doc in TX who is doing the FLA for BPH study.

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  • Posted

    Good luck Rich I will keep you in my prayers.  Let us know whats going on  Ken
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