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4 Most Common Enlarged Prostate Procedures (One treatment you should NEVER get)
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- Опубликовано: 12 апр 2023
- Welcome to our RUclips video about the different procedures available for treating an enlarged prostate. In this video, we will discuss four different procedures - Greenlight, Prostate Artery Embolization, Urolift, and TURP. We will also introduce you to Dr. David Wood MD, who specializes in Prostate Artery Embolization, which is considered the most comfortable and effective procedure.
What is an enlarged prostate?
First, let's talk about what an enlarged prostate is. The prostate is a gland that sits just below the bladder and surrounds the urethra, which is the tube that carries urine out of the body. As men age, the prostate can grow larger and begin to squeeze the urethra, causing urinary symptoms such as frequent urination, difficulty starting or stopping urination, weak urine flow, and the feeling of not emptying the bladder completely. These symptoms can significantly impact a man's quality of life.
Now let's discuss the four different procedures available to treat an enlarged prostate.
Greenlight
Greenlight is a minimally invasive procedure that uses a laser to remove prostate tissue. It is performed under general anesthesia or spinal anesthesia, and the procedure usually takes less than an hour to complete. Greenlight is an effective treatment for urinary symptoms caused by an enlarged prostate and has a low risk of complications.
Prostate Artery Embolization (PAE)
Prostate Artery Embolization (PAE) is a newer, minimally invasive procedure that has been gaining popularity in recent years. It involves blocking the blood supply to the prostate gland, which causes it to shrink over time. The procedure is performed under local anesthesia, and patients typically go home the same day. PAE has been shown to be highly effective in treating urinary symptoms caused by an enlarged prostate, with fewer side effects than traditional surgical treatments.
Urolift
Urolift is a minimally invasive procedure that uses small implants to hold the prostate tissue out of the way, thereby opening up the urethra and improving urine flow. The procedure is performed under local anesthesia, and patients can usually go home the same day. Urolift is a safe and effective treatment option for men with urinary symptoms caused by an enlarged prostate.
Transurethral Resection of the Prostate (TURP)
Transurethral Resection of the Prostate (TURP) is a traditional surgical procedure that involves removing the prostate tissue that is blocking the urethra. It is performed under general or spinal anesthesia and requires a hospital stay of one to two days. TURP is a highly effective treatment for urinary symptoms caused by an enlarged prostate, but it also has a higher risk of complications than the other procedures discussed in this video.
Dr. David Wood MD - Prostate Artery Embolization Specialist
Now let's talk about Dr. David Wood MD, who specializes in Prostate Artery Embolization. Dr. Wood has been performing PAE procedures for several years and has helped many men improve their quality of life by treating their urinary symptoms caused by an enlarged prostate. He is a highly skilled and experienced physician who is dedicated to providing his patients with the best possible care.
Why Choose Prostate Artery Embolization?
While all four procedures we discussed are effective treatments for urinary symptoms caused by an enlarged prostate, Prostate Artery Embolization has some distinct advantages. First, it is a minimally invasive procedure that is performed under local anesthesia, which means it is less risky than traditional surgical treatments. Second, it has a lower risk of sexual side effects than some of the other procedures. Finally, PAE has been shown to have a higher success rate than other minimally invasive procedures, with long-term results comparable to TURP.
I had PAE done 38 days ago in Colorado. What a blessing to have found this procedure. Two hours in the clinic and out (urologist procedures average time in the hospital is 1.38 days). I admit I had to use the bathroom quite often over the next 24 hours after the procedure but after that no problems . I had normal intimacy (I used that word for youtube politeness) ten times after the procedure over the next 35 days and am extremely happy with PAE. I have to admit that using Flomax totally ruined intimacy physically for me so medication was not something I would use. PAE is dissed by Urologists because they don't do it. That is like going to a Ford Dealership and asking to buy a Corvette (made by Chevy).
How much did you pay
@@interactive1178
I have posted this before. Somehow they get it removed. These places will charge you $40,000 to $50,000. I would not get this procedure unless you are older than 65 and on Medicare. Medicare will pay for it. They say the procedure should be $9,800 and they pay the 80% of it. If you are under 65 then make a written deal with regards the cost with the Doctor's office and have them sign it before you have the surgery what the charge will be.
where, who did the procedure?
jim from colorado
@@jimgeidel6200
PAE works i had it done in jan 17 and by Mar 14 23 was back to normal My prostate stopped me from urinary function for 3 months. Now i feel much better improvement. Highly recommend but some insurance companies are not covering
In which hospital did you treat
@@Sajad12189 none. In office procedures simple painless CIC Reno dr Evans
Had a holep procedure done four months ago at a VA hospital in Las Vegas NV.
And?
@@hankhalbert6542 and all is well with the procedure. It did take a full five months for it to show the full effects of it. So be patient. The first two months may not be the best, but it does get better around the forth month and now at the end of fifth month. I would say it's a success!!!. Of course I'm sure some will have better success or worse then me.
PAE is not without failures. My Radiologist was only able to access the right prostate artery and as a result there was essentially no change in symptoms. Whether this was anatomical or iatrogenic is unknown but your Physician should include this information in your consult prior to treatment.
do you know why they could not access the right side artery
There is no perfect surgery and so expect failures sometimes it depends on the doctor also.. failed TURP surgeries because of the doctor he patient went to another surgeon urologist complete success!
They all have drawbacks
@@chrisarntz8556 I was not told the reason why but I was awake and I could sense a bit of frustration. They tried for a good while before giving up.
@@lespaul1755 Of course, that is why I wanted to give one example of lack of success that should be in consideration prior to accepting treatment.
What happens after 5 to 6yrs of the procedure, redo it again or what?
Not enough information to make a person want this treatment. All sounds great. I'm sure it works for some. However, there is not a lot of known accessible data research on patients who have had this operation. Especially after 1 to 5 years? No mention of the cost? What are the known side effects? What happens after 3 or 5 years? If you need this treatment again? All sounds great.
I did research and the information is there. I haven't had it cause I don't need it yet but it sounds much better than the others
I'm sold on PAE, but the Interventional Radiology Department at my local hospital requires that I'm first seen by a urologist. I expect the urologist would confirm the diagnosis as BPH but assume the urologist would not refer patients for PAE which is performed by an Interventional Radiologist. So, I would then covertly schedule a PAE appointment with the Interventional Radiologist. By the way, what's the "one treatment you should NEVER get"? TURP?
PAE changed my life. I did have a major reaction and spent 5 days in the hospital. It was worth the risk
What's the risk?
Is there any problem re: the blood that is stopped by the little bubble things? Isn't stagnant blood just sitting there or coagulating a negative?
My primary care doctor is dead set against PAE. Too many things can go wrong. He advised that I work with my urologist and use Green Light.
No, no , no. Your Dr. sucks. All the options other than PAE have SIGNIFICANT risks. PAE done by an experienced team has close to zero risk.
@@edbalboni This was a year ago. I had the green light laser treatment which was very successful.
@@ZonaJim Jim. Glad it worked out well for you. My concern is these procedures have a low but not zero risk of incontinence and ED. PAE does not carry that risk. I had PAE about 3 months ago and although I can not compare it to green light, PAE worked well for me. All the best.
@@edbalboni It's all behind us now brother. At least we have choices our fathers didn't.
What is one treatment that we shouldn't get that is in your title?
click bait.
The TURP
Exactly???
After TURP Surgery and a cancer scare I now take Saw-Palmetto and Pumpkin Seed Oil daily.
The Prostate is the organ with the highest concentration of Zinc, a Prostate with Prostatitis has roughly half the Zinc and a Cancerous Prostate a third.
No mention of the REZUM procedure? That is a glaring ommission.
Don't do it. Rezum is a brutally painful procedure. It is temporary and palliative at best. Ask yourself if you want to have live steam injected into your prostate at least 4 times while you are fully awake. If you really want to understand how horrible this procedure is, read the comments from people ( like me) on RUclips videos that have had Rezum. You will be miserable for the next 30 days after the procedure as your body rids itself of the dead prostatic tissue. My new Urologist discontinued doing Rezum due to the poor patient outcomes.
I had it done a few weeks ago and I was knocked out for the procedure. So far this procedure has been torture. They put a catheter in for a few days. When they took out the catheter i experienced the most pain i have ever had in my life. Three days of not being able to urinate. They finally had to put a catheter back in. I'm coming up on two weeks now and I wouldn't wish this treatment on my worst enemy.
Hi, what about enlarged median lobe which is my main issue?
try ketogenic/carnivore diet, fasting and excercise.
enlarged ANYTHING is caused by too much insulin and by signals the body gets if you eat sugar (fructose/sucrose).
How long does it last? A
How and where do you get into the artery and how do you direct it to the prostate?
Two questions I have: (1) Plugging up the arteries with these beads - won't that backup the blood trying to flow through those arteries, causing pain and swelling from the backup of blood being pumped by the heart into those arteries? (2) Must a biopsy be performed on the prostate prior to the procedure?
No plug ups no pain. PAE works
Better not to get a biopsy as that swells your prostate up more. If you don't have cancer, don't worry about it. The PAe will work better if you don't swell your prostate up before you get it, it only makes sense
Overactive bladder and enlarged prostate: any combi solution ?
I had this done in October 2021, I had some of the beads go into the rectum which slowed down the blood flow. Let me tell you it was awful time. Took me five months to recover. It will affect 1% of men so I was told. Once I recovered I have not looked back regarding its effectiveness. I would check who’s doing this procedure on you regarding their failures. You can get beads that go into the rectum, bladder, and penis.
PAE lasted 16 months for me. Had to go the ER due to urinary retention. Do not recommend it.
Wow, very disappointed to hear that. What happened did they not zap the arteries from each side ?
Is it possible to get a urolift done first then followed by PAE to get immediate and then long lasting benefits?
So what happens to all that dead prostate tissue where the blood flow was blocked?
I've seen other video explanations where it says the body absorbs it.
idealy the body "eats" those tissues by means of macroautophagy.
but some cells may change into cancerous cells as a response to hypoxia...
How about theraphy exercises it helps me a lot and about PAE blocking the arteries wouldnt the prostate die totally without blood supply
anything which keeps your insulin down will help.
however unless your change your diet ans stop eating sugar and restrict carbohydrates, it will not have a lasting effect...
PAE doesn't completely block the arteries. It greatly reduces the blood flow so the prostate shrinks.
So does the eurethra enlarge by itself after this procedure. What happens to the blocked veins over time? . I would think that they would die without blood flow and so the beads would dissipate out into the body and dissolve and then what? Is that vein permanently blocked at the place where the beads were placed?
Prostate shrinks
My PSA was 9.4 before with large prostate after PAE it went down to 1.4 and I can pee just fine. It's almost a year. Jan 17th I had the procedure
Kaç ayda PSA düştü
Please what of those in west africa especially Ghana....u need this ?
I use zinc 250 mg a day and so far it seems like it's working plus I walk around a lot and keep myself active. I would like to know if anyone can tell me some problems as they reach in their 50s as my dad had a prostate problem in 50s
That's an outrageous amount or zinc. You should be taking some copper to balance out the high zinc, or your copper balance could be thrown off. I take only 30 mg of zinc, and 2 mg of copper with it.
@@ExplodingPsyche sorry it's 50 mg of zinc my mistake in typing.
@@davidharrison3574Enlargement of the prostate usually happens gradually, but I definitely noticed it by my early fifties. I first noticed that I had to push a little harder to urinate. And then as symptoms worsened, it took longer to start the flow. It can also cause some pain, urgency and more frequent urination. My urologist wanted to start me on Flowmax but I decided against it after I researched the side effects. After further discussion with my urologist, we decided to try Cialis, which works for some people. It is not a cure all but it has helped me fairly well. There is a generic version which is cheaper. 5mg daily in the am. I've been taking it for years. I'm now 72.
@@ExplodingPsyche on a recent ultra sound doctor found my prostrate a little swollen but psa is only .50 so I am okay but a little swelling is sort of concerning since urethral canals sometimes can be blocked by little swelling and sometimes even large swollen prostrates are not problematic. It all depends on how they are structured by nature.
@@davidharrison3574 I got up four times last night to go a little bit. It's awful. I dread the thought of having to undergo a procedure to open my prostate up, but it seems like it's only a matter of time.
PAE did not work for me…. Going in for Turp next week.
It takes time for it to work sometimes 2 to 3 months. Mine took almost 2 full months since I had a biopsy 2 weeks before procedure which enlarged the prostate
PAE works for 95% of men
you need to change your diet and lifestyle radically.
the best is going ketogenic/carnivore, excercise and doing some fasting protocols.
How much is a procedure like that, gonna cost?
This comes across as a biased promo, with no discussion on any side effects or complications from PAE.
PAE sounds great but it's not here in West Virginia 🤔
What about using STENT to keep open as they usually do with coronary artery?
STENT - It took a half of century to come out with something less barbaric! A progress in a treatment of an enlarged prostate is absolutely disappointing, it is an abomination and a disgrace to a medical progress. It has to be the least progressive field of medical science!
Good question. Placing a stent in the prostate to keep it open.
The Urolift system actually does implant stents to hold the prostate tissue away from the urethra.
@@marksakowski9272 You are absolutely correct about the state of this branch of medical "science." We lack even a reliable test for prostate cancer, the PSA tells you virtually nothing for certain. As for all the new BPH treatments, among other deficiencies, none can represent that they will give symptom improvement for more than 4-5 years.
Seems like there is a question on all procedures as govt funded studies are still being conducted right at this moment. clinicaltrials dot gov.
5:00. It would help us lay people if you pointed out a little more fully the structures on the MRI. What is obvious to a physician, may not be obvious to us. Thank you.
Had HoLep procedure 12 months ago. Pee like a water cannon now. One time procedure.
What dr?
John, where did you have the procedure? Also did you experience burning when urinating afterward? I am seriously considering Holep after failed Rezum 2 yr ago.
I had PAE only lasted about a year for me. Don’t fall for the hype.
I HATE CLICKBAIT! I wouldn't get this procedure, because you start off as a LIAR,
drawing people in to find out "What treatment you should NEVER get". THE HOOK.
LIAR, LIAR, PANTS ON FIRE!
So, what happens after 5 to 6 years when the prostate regrows and symptoms recur?
get it done again
@@edbalboni How would that work? The blood flow is already stopped with the first application that's why t shrinks. If it regrows in spite of that how would getting a second dose do anything? "NOTHER QUESTION -- Are they saying it should last the 5-6 years because then it wears off? Or do they just not have more than 6 yrs worth of data so far so that's all they can swear to? Poorly written scripts perhaps?
@@razzking Google: "Angiogenesis is the growth of blood vessels from the existing vasculature. It occurs throughout life in both health and disease, beginning in utero and continuing on through old age." So more blood vesseles form, bypassing the beads, in the prostrate which causes it to start growing again. The PAE would be done on these new blood vessels.
I prefer the Resume procedure.
Have you had Rezum???? It is a horrible, painful, and temporary procedure.
I use urethral dilatator from a medical silicon once a week or so, it really helps, I do not need a perfect solution. This is cheap and also helps to milk the prostate to mitigate other risks.
😳
What is the treatment we should never get?
So where can I find Dr. Wood??? I live in Phoenix.
CIC there in Phoenix
@@sailwinds69 Actually found him at Advantage IR in both Scottsdale and Peoria
Only thing and nothing against this doctor but they all promote whichever procedure they do. I do like this procedure the most though…
why not just slip a plastic tube into the canal that is adjustible in diameter?
I see this as a possibly very dangerous procedure. If you put that plastic filler into the wrong blood vessel. This is like threading the needle in the dark... Not for me.
I had radiation on the prostrate, my urologist recommends that I dont get PAE . Is there I test (MRI, CAT SCAN ETC ) to see if I can get this done. I self Cat. 2x a day
Yes MRI and cat scan will work for radiologist with PAE which does work. CIC Reno Dr Evans
PAE works great
PAE works
It's a pity you don't mention HOLEP and REZUM as alternatives.
We’re is HOLEP ?
I had PAE 14 months ago. A complete bust! Fixed nothing!
Actually, I was better off BEFORE the PAE.
I had an MRI of the prostate prior to this procedure. There was never any mention of a Median Lobe complication, even though i clearly have a median lobe with protrusion into the bladder. My own research following the failure of PAE revealed that i was NOT a candidate for PAE, because of the Median Lobe. Why did the Interventional Radiologist do it anyway?
No explanation. Just an.... I'm sorry.
In addition, he hit some Non- Target arteries.
This is very bad!
Advice...do your own research, before hand. Be very thorough!
Use an interventional Radiologist who has done hundreds of these procedures AND make him aware that if he hits a non-target artery (artery NOT feeding the prostate) that you will sue his ass!
I had a similar experience. PAE is not usually effective if median lobe intrusion is an issue. But, other than not working, my PAE procedure did not do any additional harm. I also had an ineffective urolift procedure. I eventually had a TURP, which helped but has not totally relieved my urinary blockage issues.
Wow, you have had a rough time. @@katazack
Did I miss it, or was there no mention of the "One treatment you should NEVER get"?
I believe they are all m painful
He forgot about REZUM
you said results "should" last 5-6 yrs....what then? repeat every 5yrs?
Yes, PAE can be repeated if necessary
@@sailwinds69I was all set to look into this on Monday when I’m going to Chicago and an excellent University Hospital to meet with a urologist there but only 5-6 years is no good. Don’t want to go in again at age 77 or is it that easy to go through?
Super easy procedures
@@sailwinds69 good to hear. I will consider it then.
It will be standard procedure in the next 10 years. It's so easy and it works. Others require hospital they go up your penis put you to sleep cut up your prostate make sex impossible etc...PAE is amazing
I found him...
HoLEP is one time shot!
do NOT get the green light surgery
The only problem is no Urologist explains that you may not be an ideal candidate if you have a medium to smaller prostate.