Posted , 8 users are following.
Hi,
For those who have had the PAE procedure.
How long before the first Psa test and or Mri.
Please provide Psa drops if any.
My Psa before pre procedure was 3.7 Im hoping ago see a significant drop.
Thank you
1 like, 27 replies
We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.
arlington ktmxc-f
Posted
I didn't have a follow-up MRI or PSA test. It wasn't prescribed by the PAE doc; however, he was out of the area and I haven't followed up regularly w/ my urologist.
The PAE didn't work for me, probably because I have an enlarged median lobe (I'm also in AUR).
Best of luck!
ktmxc-f arlington
Posted
lrp1 ktmxc-f
Posted
ktmxc-f lrp1
Posted
Thank you and congratulations on low spa number.
ktmxc-f
Posted
ed70868 ktmxc-f
Posted
year after 5.7 took antibiotic 30 day and it dropped to 4,3
Had it two weeks and it is 8,1
Had two biopsy sessions before PAE with 12 samples each. all negative
Found a place in Sarasota, Florida that will do a 3T MRI with contrast for 695.00 self pay. If scheduled on a day the Doctor is on site he will go over the results at no extra cost. I plan to do this over the next few months which will assist me in making a decision on another biopsy.
ktmxc-f ed70868
Posted
ed70868,
Thank you for the information. I'm very sorry your Psa is elevated. I visited Dr. Joe Busch in Chattanooga TN. He spends over an hour reviewing results.
ktmxc-f ed70868
Posted
Did you have the Mri? Hopefully things are good.
ed70868 ktmxc-f
Posted
Dr. Goldberg took about 30 minutes to explain what the MRI indicated. There was one small spot on the lower left that he rated as 80 percent chance of cancer. He talked about all the structures and explained the various structures that create the problems with treatment on the prostate. He also explain that the lesion in completely in the prostate so treatment should be very effective.
The next day I saw Dr. Barzell who is sending my complete workup to another guy that specializes in reviewing the results and could better determine if the spot is really cancer or something else.
Unfortunately for me Dr. Barzell is having knee surgery next Wed. so he could not do the fusion biopsy until sometimes in Dec. Might have the fusion biopsy done in Jacksonville instead of waiting till mid Dec. and traveling back to Sarasota. He did do a DRE and found the area around the possible lesion was smooth. Dr. Barzell requires a rectum swab and urine culture 10 days before biopsy and an IV antibiotic just before the procedure due the number of round of antibiotics I have taken over the years. Nice to see he was so concerned that there would be no problems with the biopsy. This did not happen with my other two biopsy.
Best $695 I have spent in a long time. Highly recommend Dr. Goldberg if you are self pay. He also takes most insurance plans.
ktmxc-f ed70868
Posted
Thank you Ed. Great info.
Ive read great things about Dr. Goldberg.
Dr. Joe Busch in Chattanooga TN performs biopsy in-bore, live Mri.
Best regards
lester90053 ktmxc-f
Posted
Don't worry about PSA which often fluctuates unreliably. Pay more attention to your urine flow.
ktmxc-f lester90053
Posted
Thank you for the good advice on flow. The flood gates are slowly opening
Truthmatters ktmxc-f
Posted
My PSA score was unaffected and understood that as there was no Cancer present it wouldn't. Flow, and even more important retention, are the key changes. Had my PAE 2 years ago and the success is qualified. No return to "normal" but the new "normal" is considerably improved. Pre PAE up to 4 times a night, now just once. There is variability in flow, sometimes highly impressive, sometimes a squeeze. The one factor that guarantees a reduction in flow is drinking alcohol. It seems the prostate must swell as a result but returns fairly quickly. Suggests if you don't drink and do not have any other complication then the outcome is good. PAE can do nothing about bladder problems and living with it for years eventually causes what appears to be irrecoverable damage. Years of straining to urinate past the restriction on the urethra prevents the muscles from recovering. Net result is retention; depending upon how bad that is leads to the issue of frequency, as obviously you are already some way along to having a full bladder.
I have said before that the relative lack of invasive surgery with close to zero recovery time makes it a great candidate for an early intervention for BPH. If my speculation is correct, this early intervention could prevent the damage to the bladder that reduces the effectiveness of this treatment. Right now I would recommend PAE to suitable candidates as a way of extending your options till something more effective comes along.
ktmxc-f Truthmatters
Posted
I agree 100% on points listed. I am hoping the bladder will hold up.
ktmxc-f
Posted