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Benign prostatic hyperplasia (BPH) Surgery Options
Men's Health | Last Active: May 4 9:47am | Replies (228)Comment receiving replies
I think this is a good place to jump in as I was planning to report my latest decision. I had been hoping to do an Aquablation at the Lahey Clinic here in MA, doc has a lot of experience. But since I had a 125cc size a few years ago he sent me for a CT scan to get a more recent accurate measurement. He doesn’t think Aquablation should be done over 160cc. Well, I hit the jackpot at 229cc, lucky me. I do manage it well with Tamsulosin but it’s time. He recommended HoLep or PAE, the latter was my consideration for awhile as I am not willing to risk the 2% incontinence factor with HoLep. I am going for an evaluation this Friday. BTW, the record for largest prostate goes to a guy in 1918 who came in at 706cc. No Guinness Book mention for me.
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I had a PAE a few years ago and the results were superb with ZERO side effects. Unfortunately the prostate continued to grow and about 3.5 years later I was back on meds. But the meds now work better than the did prior to the procedure. I'm told too that sometimes the PAE results are permanent and solve the problem for good. Just be sure to get an experienced doctor as you don't want to impact other organs by accident. The procedure was painless and I watched on the monitor the entire time. If the prostate becomes unresponsive to the meds again, I will consider another PAE.