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Prostate Arterial Embolization- PAE
I´m 74 years old and by 2017 I made a PAE. Prostate size 122g. Pós-operative was: excruciating pain in urethra when urinating, blood in pee and faeces, fever in perineum and rectum. Unfortunately my prostate grow again and I need to make another PAE because I have only one working kidney and had two cardiac surgeries. I´m trying to find the following information: 1 - What´s the success rate of a second PAE. 2 - Has this procedure changes in 8 years to bring less pain pós-operative? Which medicines some of you used to counteract tha hellish pain I felt. I was suggested Rezum but studies show only 17% decrease in big prostate sizes. Any help will be very welcome
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I did not know PAE could have those kind of complications nor that might have to be redone. Have you considered a HoLEP? I had that done a few years ago and it has been a great solution for me.
I have no financial conditions to do a HOLEP, and I´m afraid of strictures which always happens with HOLEP. And I was told that it´s a very blood surgery
I had BiPoLep done in Jan 2022 and I am very pleased with the results. My prostate was 125cc with a median lobe covering the bladder outlet and I could not pee. I was on a Foley catheter for about 6 weeks leading up to the surgery. I now sleep through the night about 99% of the time without having to get up to pee and I still pee like a teenager since the surgery. BiPoLep is very similar to HoLEP, just uses a slightly different cutting tool. Both of these surgeries use a hot cutting tool to cauterize as they cut to reduce the bleeding. I am NOT a doctor but I would not call these surgeries "very bloody". You may be thinking of TURP which I believe uses a cold steel cutting tool. I had no stricture after my surgery. My surgeon did list that as a possible side effect of the surgery but said that it was not common. I was 69 years old at the time of the surgery and on Medicare with supplemental and it was completely covered. I paid a small deductible because it was early in the calendar year and I had not yet met the deductible. Both of these surgeries will leave you with retrograde ejaculation which admittedly does slightly reduce the pleasure of an orgasm, but I would do it all over again if I had to. In fact, I would not have waited until I was in urinary retention and on a catheter. Best of luck to you.
Thank you very much for your explanation of this procedure. It will helpme a lot
I had HOLEP in Dec 24. Only had heavy blood in the urine the day of the surgery.
Did you experience very burning sensation when you urine? Or you have to use Foley for some time? Thank you