Prostate Artery Embolization (PAE)

Also what was the total in $s?

Did you have any other symptoms ?

How did you decide on pae ?

Thanks. Hank

I had the usual symptoms. Frequency, urgency, watched diet very closely.

I decided to pull the trigger after a serious bout of urine retention. 

I have been researching Pae for years, I have contacted many men and Dr.s.  My opinion (not a doctor) Pae is the least invasive procedure with 80% positive results. If it doesn't work I will consider focal laser ablation next. 

Hello,

I'm on day 10. Last couple of days have been difficult. Frequency every hour most of the day (painful). Last night I did go 7 hours before urinating. This morning flow is decent, pain is near zero. Morning run and things are looking good,  

I am approximately 20 days out. Average time between bathroom breaks is 2 to 4 hours now. I can also hold it now. Before "Gotta go now or wet the pants". Flow is sometimes great other times a little slow, better than before the procedure. No regrets so far.

Best improvement is time between and urgency. 

Hi Hank,

Every Man is different, I'm not sure.about size of Prostate. Dr. Nutting mentioned larger Prostates (100cc) sometimes fare better. Ive listed a few studies. Dr. Mark Little is a good one. Dr. Isaacson at UNC is very good at responding. message me and I can provide his email. Best to you.

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Hi Hank,

Im not sure about size. Dr. Nutting mentioned larger prostates may have better results. 

I tried to send numerous studies to you but the site went into "waiting to be moderated"

If you message me I will send studies to help you.

Kt

Thanks kt.  80mg used to be the minimum prostate size for PAE. I am just curious what it is now. This site doesn't like links so you can send me the links via private message (PM). Hank

No need for foley catheter.

I had my PAE there last March, and did not need a catheter.

I think many Men wait till they are in serious retention trouble. I wish I would have had procedure done three years ago. Its not perfect but it has helped me considerably. 

Prior to my PAE I had severe urinary retention. I also have a large median lobe, and was doing CIC before the procedure. After the PAE they did not send me home with a Foley. However, about a week after I got home, I came down with a UTI, and they put in a Foley for 7 days to give my system time for the inflammation to settle down.

Stebrunner

Jennings Reveley

Dr. Nutting uses a catheter on all of his patients. Catheter is a marker for him. I was with catheter for two hours post procedure. Once I was able to urinate they released me.

I was able to urinate without catheter prior to procedure. My prostate was swelling at night, very difficult first urination in morning. I know it was a matter of time, I decided to go ahead with procedure.

I sent a few Doctors that perform the procedure. Dr. Isaacson quickly responds to any questions. If my insurance did not pay I would have went to UNC. Dr. Justin Mcwilliams at UCLA is another good guy if you have questions, Dr. Bagls charges for consult. I nearly went to chicago to visit Riad Salem for a clinical trial. My psa was over 2.5 so they wanted biopsy. Dr. Salem called me directly to discuss procedure. 312/695-5753

NMH/Arkes Family Pavilion Suite 800

676 N Saint Clair

Chicago IL 60611

No, my urethra was too inflamed.

Stebrunner

Re prostate size for PAE, I asked Dr Picel of UCSD:

"40 g is usually the smallest size treated. The procedure may still be effective on smaller prostates but is likely to have less of a beneficial effect.

Sincerely,

Andrew Picel, MD"

Hello,

I have approximately the same size prostate (50cc), but what worries me most is the large median lobe. I'm considering PAE with Dr Pisco.

Did you have already the PAE, if so how was it and how are you doing today?

What do you know about PAE and large Median lobe?

Thanks,

Yoav.

Had PAE with Dr. Picel from UCSD exactly 30 days ago. Prostate 120 g, bleeding, bladder neck obstruction.Few times in the past Foley catheter placed for 1 week, self-catheterization lately.  It was very painful first days after PAE and then slightly better but better after three weeks.  Probably the more the pain, the better are results. After 30 days results are beyond any wild expectations. No pain or burning whatsoever. Stream flow like 30 years ago, at age 40, measures as 10-11 mL/sec. Can stay without restroom up to 4 hrs. Mild incontinence gone totally. During the night wake up only one time around 5;30 am. Expect more improvements in next 3-6 month. No feeling of residual urine in the bladder, The stream is strong all the time.  A bit small amount of urine i relived every time, around 150-200 mL, but that is probably due to age, many years of BPH and bladder wall thickening. Otherwise pure magic of Dr. Picel. No bleeding, side effects, or other organs involved. Perfect poster case.  Probably due to very large prostate and very skillful intervention of Dr. Picel.  Have still to measure new volume and PSA. Erections and sex also improved substantially. 

Skillful PAE should totally replace te butchering of TURP and other highly invasive treatment of the BPH. Insurances should cover it as the first resource. Don't know yet how long the positive results will last due to self-vascularization and future prostate growth, which is very individual.  Will repeat the procedure without any hesitation, particularly with Dr. Picel.

Good luck with your PAE.             

Thanks for your answer.

Do you know if the PAE blocks compleyely the blood supply to the prostate or just limiting it?

Thanks,

Yoav.

Thanks, this is what I heard, I wonder if there is a specific vessel that feeds the median lobe or is the shrinkage of the lobe proportional with the overall shrinkage of the prostate? 

Thanks again,

Yoav.