• PAE (Prostatic Artery Embolization) for BPH?

    From LenJP@21:1/5 to All on Tue Apr 9 17:16:30 2019
    In another post, I saw this: PAE (Prostatic Artery Embolization). A radiologist blocks the arteries feeding blood to the prostate, and causes it
    to shrink by roughly 40%. An out patient procedure not requiring a
    catheter.

    Just wondering if anyone here has has that done and how it went.

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  • From GB@21:1/5 to LenJP on Wed Oct 2 14:09:44 2019
    On 09/04/2019 22:16, LenJP wrote:
    In another post, I saw this: PAE (Prostatic Artery Embolization).  A radiologist blocks the arteries feeding blood to the prostate, and
    causes it to shrink by roughly 40%.  An out patient procedure not
    requiring a catheter.

    Just wondering if anyone here has has that done and how it went.

    I had that done at the end of July. It takes about six months to have
    full effect. Now, two months later, I am noticing a significant
    improvement.

    Just as importantly, I am not incontinent, and I have no change in
    sexual function. Neither of those is a foregone conclusion for the more invasive procedures, which almost always cause retrograde ejaculation.

    OTOH, PAE does not work in all cases. Success rates are variously quoted
    as 50-80%.

    If it does work, it may not give a permanent solution to BPH, and you
    may need further intervention 5-10 years later. Still, preserving sexual function and continence for an extra 5-10 years seems highly worthwhile.
    This is quite a rapidly advancing field, so any intervention in 10 years
    time may be completely different.

    It is often done as an outpatient procedure, but it's quite a lengthy
    procedure - about 2-3 hours, including preparation. That's followed by 4
    hours of lying still in bed. So, you may be kept in overnight. Expect significant discomfort for the 12 hours after the procedure. In my case,
    that was controlled by paracetamol and ibuprofen, but you may need
    something stronger.

    HTH

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