Prostate Artery Embolization for BPH. Anyone have it done?

Posted by dmp08 @dmp08, Apr 16, 2023

PAE can be done through wrist or femoral artiry. Usually catheter is not needed. Catheter is for as a marker by some radialogists. I am wondering if it can be done without any sedation? Thanks.

Interested in more discussions like this? Go to the Men's Health Support Group.

@anonmike

I am considering PAE and in conversations. Welcome anything new.
Separately, i'm starting to travel and use on of those hard but light cases that i can carry on. I'd like to segregate my catheter supplies in some sort of pouch or sleeve, caths are long about 18 " long and need lube packs for each.
Do about 3 per day.
Any practical suggestions would be welcome, anxious about getting on plane without a good plan.
Thank you.

Jump to this post

This was my preferred procedure when I was looking. I ended up with a holep because of my median lobe

As long as you do not have a medium lobe issue the success rate is pretty good.

As long as the radiologist has performed the procedure successfully multiple times you should be okay.
Look at the possible side effects. And make sure you can live with them.

REPLY

Would you please give me some information about possible side effects? I am considering PAE. Thank you.

REPLY

This form has a lot of information on pae experiences. You'll have to scan through it under Men's Health and prostate issues. Like I said before if you have an experienced radiologist there should be no issues. The nice thing about pae as you probably already know is it is repeatable has a good recovery rate and zero sexual side for most.
https://patient.info/forums/categories/men-s-health-24

REPLY
@anonmike

Would you please give me some information about possible side effects? I am considering PAE. Thank you.

Jump to this post

I had this done in February 2023. Could not be happier, back to being 30 again, I’m 72 now.

No side effects but I must tell you, recovery for 10 days was a living hell.

REPLY

I read your earlier post. Glad for your outcome; not for the 10 days of bad pain. Would it have helped to self-catheter in those 10 days? 2 liters is about 60 oz, tough. I do self-catheter now and maybe that would help in the recovery? So pleased you are doing well.

REPLY
@anonmike

I read your earlier post. Glad for your outcome; not for the 10 days of bad pain. Would it have helped to self-catheter in those 10 days? 2 liters is about 60 oz, tough. I do self-catheter now and maybe that would help in the recovery? So pleased you are doing well.

Jump to this post

Thanks Mike,

Self catheter was never mentioned to me but I could see how it could help.

Once recovering was done I continually improved for 6 months, just what the doctor predicted.

With a 5-10 year effectiveness I would definitely have it done again without hesitation. Good luck to you if you go this route, you won’t be sorry.

REPLY

Thank you, and continued effective living for you, Bill.
Mike

REPLY
@bill5letsfixthis

Thanks Mike,

Self catheter was never mentioned to me but I could see how it could help.

Once recovering was done I continually improved for 6 months, just what the doctor predicted.

With a 5-10 year effectiveness I would definitely have it done again without hesitation. Good luck to you if you go this route, you won’t be sorry.

Jump to this post

Forgot to ask about cost of the procedure? Thanks.

REPLY
@anonmike

Forgot to ask about cost of the procedure? Thanks.

Jump to this post

It was fully covered by Medicare and my supplement plan. I paid nothing, except for a lot of Motrin, which was recommended I start taking before the procedure.

About 5 days in I didn’t think it was helping so I stopped one dose, was that ever a mistake!

REPLY

I’ve had it done twice now. First time was uneventful. Second time , my doctor , Andrew Doe , of Alate Health in Houston , inadvertently hit the pudendal artery and at least one of the communications with a non target embolisation . That event , which Doe’s assistant denied could even happen when I complained of pain after the procedure ,led to misdiagnosis by GPs , severe pain for weeks , wound therapy for a large necrotic ulcer and a very muted advocacy for the procedure now. His aftercare was abysmal at best and lacking follow up . In fact , rather than seeing me right away , I had to wait almost two weeks to see him while wrestling with next steps. He did no MRI and angiogram prior so there was no template for him to follow. If you have this procedure done seek out Dr Bhatia in Miami. We spoke several times after my procedure and he was even proactive in following up with me even though I was not his patient. Therein lies the difference between doctors.

REPLY
Please sign in or register to post a reply.