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Prostate Artery Embolization (PAE) with Prostate cancer
Prostate Cancer | Last Active: Nov 19, 2025 | Replies (26)Comment receiving replies
Great comments thanks. In need to look into Tulsa. Tell me about your diagnosis. I am 62 very healthy and active, PSA was at 4.5 in Feb 2025 but last check in July 2025 is went down to 3.2 which is confusing. MRI in April 2025 found PIRAD 5 lesson 2.2 cm in the transitional zone so inside the prostate between the two layers. May 13 core MRI guided biopsy found area of concern had 70% abnormal with only 5% of that 4 the rest 3, so 3+4=7. Followed up with CT w/contrast and PSMA PET no spread. ArteraAI says cancer is very low grade only giving a .7% chance on metastification in 10 years. MiraDx/Prostox test says I’m not a good candidate for SBRT (only IBRT) due to a 95% chance of having long term grade2 level toxicity and urinary issues, so I’m looking at other options.
Replies to "Great comments thanks. In need to look into Tulsa. Tell me about your diagnosis. I am..."
Aquablation works well with transition area lesions. I think a Dr. Helfand in the Chicago area: Northwest Hospitals. Initially only allowed for BPH it may be approved for Pc now or both diagnoses required?
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In 2021 after Pirads 5 MRI, I had a 3+4 (less than 5% was 4) that slides regraded by Hopkins said just 3+3, and 4 was not apparent. I spent next two years taking supplements to see if it helps. But in 2023 at Mayo MRI the lesion was smaller or tiny now, but on biopsy the 3 was gone and just the small 4 was left, making mine a tiny 4+4. So worse grading than yours technically but anyway it was a 3+4 that supplements killed the 3.
Tulsa Pro easily reaches transition zones.
Here is my long story
https://connect.mayoclinic.org/discussion/tulsa-pro-initial-experience/
which got many replies over 2 years, but my info is in there.