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Second PAE?

Posted , 8 users are following.

don30615
don30615

Has anyone out there had a second PAE that worked better than the first? I had a PAE in May 2017 with Dr. Bagla in Alexandria, VA, and am now, 2 1/2 years later, beginning to re-experience BPH symptoms.

Also, does anyone know anything about the PAE procedure done by Johns Hopkins and George Washington Hospital?

Thanks!

0 likes, 7 replies

7 Replies

  • lester90053
    lester90053 don30615

    Posted

    Obviously PAE is not for you. Get a few opinions from urologists for other procedures. Do research and don't rush into anything. Have you contacted Dr. Bagla to see what he has to say?

    • don30615
      don30615 lester90053

      Posted

      Thanks, Lester. I've put in a call to Dr. Bagla's office and am waiting to hear back from him. Have had several discussions with my uro--one of the top docs in the Washington, DC area--about urolift, which seems to have fewer side effects than other urological procedures. I am trying to avoid any procedure that tends to cause RE (retrograde ejaculation).

      If PAE could buy me another 2-3 years, I might have a second go. Who knows what might be available in 2-3 years? Just don't know if a second PAE is advisable.

    • oldbuzzard
      oldbuzzard don30615

      Posted

      I doubt it Could hurt - many people have most of the older procedures a second time if their prostates grew back quickly. Maybe something else (Rezum?) might be an option - you never know, something else might work and last longer.

    • greg73359
      greg73359 oldbuzzard

      Posted

      Hi Don

      I had a PAE 2 years ago that didnt work for me and started CIC which works fine for many of us but not others. Look up Jim James's contributions . Come back if you need more help on CIC. It is so good for me they would have to force me to try any of the other current operations. Lots of failures amongst the many successes no doubt.

      GREG

  • gene97713
    gene97713 don30615

    Posted

    First patient of late Prof. Pisco from Lisbon had two PAE and was able to father a child after first and second PAE according to Pisco's paper. Research it. because mediator won't allow to post it anyway. Also, there were patients on this forum with two PAE s because of failed first PAE or deteriorating conditions in 1,5-2 years. Personally, I would prefer another PAE to TURP or Resum, FLA or else,if my condition deteriorate in the future. I am 1 months after PAE

  • JerryR
    JerryR don30615

    Posted

    My understanding (though I am not an interventional radiologist) is that a lot of the success of PAE depends on the arterial anatomy of the patient. Some patients have large direct arteries to their prostate; others are more complex and difficult to maneuver. Some have easy anatomy on one side but not on the other. If your first PAE was a failure, it might be because of difficult anatomy which wouldn't change.

    Good luck, whatever you do.

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