Prostate Artery Embolization (PAE) with Prostate cancer
I have a meeting with a Dr at Moffitt in Tampa to discuss Prostate Artery Embolization (PAE) to improve urinary function prior to radiation treatment. Has anyone done or heard of this before? The hope is also to reduce the prostate size allowing for less radiation IBRT traditional radiation treatments since my MiraDx/Prostox test can back saying I’m not a great candidate for SBRT. Also hoping PAE may allow me to look at focal therapies instead. If nothing else PAE may slow down the tumor growth to allow my to look at Proton Therapy since Moffit opens their Proton Facilty in May 2026. If anyone knows more about PAE and if there are any side affects like ED please let me know.
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@riccja
It sure would’ve been useful for you to supply the PSA results you’ve had. Yes, an enlarged prostate can cause higher PSA, but it can also mean cancer as your test shows.
Did they use a guided biopsy so that they could get to the PIRADS 4 tumor found? They should have done at least three cores from that tumor.
PSA is 1.58 the biopsy did multiple cores , 34 cores from all six areas of the prostate. It was a transperineal saturation prostate biopsy. It was not guided.
@riccja
With a PSA that low, it is unlikely that you have prostate cancer. It is true that maybe 10% of people that have prostate cancer don’t produce PSA, But after the biopsy, you have definitely confirmed that you don’t have it.
Time to relax.
I had PAE at Moffit this year, it was nothing as far as side effects go.
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1 Reaction@btm7 Yes, for the first few days expect that as the prostate reacts. Then about day 3 the frequency should subside quite a bit.
I just underwent PAE a few days ago. And experienced the same thing the day of and after.
I have stage 4 PC metastatic. I am looking to have PAE with the hope to eliminate the need for a catheter which I have had for 11 months. PAE is a non invasive procedure that is approved be the NHS in the UK even for us PC sufferers. It may relieve the pressure on the urethra but if it doesn't I think that a reducing the prostrate to nearer its normal size is a good thing. Any catheter had experience of PAE?