Had Greenlight six years ago, by a uro who had done the procedure over 1000 times. Only two days on a catheter and virtually zero bleeding. Currently have a good, strong stream and highly recommend Greenlight by a Uro with lots of experience.
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).
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.
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
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.
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!
I had the robotic Aquablation procedure 13 months ago. 108g prostate. 30g were removed. 24 hours in the hospital, 2 weeks of mildly pink urine. No post-surgical pain, peeing freely, most nights no getting up even once. I'm 72 and didn't care about retrograde ejaculation, my orgasms were not affected.
@@danielriccardi6408 I did but I was given the choice not to have that. The urologist asked me if that was important to me. It made a difference in how much tissue he would remove. I didn't want that organ to regrow to the point that I would need surgery again at some point so I told him to bring his biggest apple corer. A younger man who still cared about his swimming boys might have answered that question differently.
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.
I bought the hype about REZUM. My urologist was all too happy to perform it $$$$. I had complications and lots of pain due to the Foley catheter. I had scarring in the urethra from the cath and scope. Scars were catching tissue and bladder stones. Complete nightmare. That was 3 years ago and Ive been dealing with chronic UTIs ever since. Im looking forward to PAE if my insurance covers. If not, Ill make a cash arrangement. I want my life back.
Had rezum done, yes painful and a week or two of discomfort with catheter, etc. On par with a difficult wisdom tooth pull. Almost 5 years now, and everything is normal.
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 had TURP procedure 3/28/2023...it made urinating harder than it was before surgery. I am now 21 months post turp surgery, I get up 3 to 4 times per night, haven't slept all night for YEARS! and have permanent retrograde ejaculations. I WISH MY DOCTOR NEVER TOLD ME TO GO THROUGH WITH THIS PROCEDURE!!!! I wouldn't recommend it to my worst enemy!
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).
I reseached turp first. And doctor lied saying just going to scrape away some tissue. I think quite a bit of tissue is removed. But things turned out ok.
I had the PAE twice in University Clinic Frankfurt am Main (Germany, by Prof. Vogl) and it was both times brilliant. Not much side effects and no problems. The ability for a normal ejaculation remain completely. And! if you have issues later: the laser could be done if needed. I important is a surgeon who knows how to do it.
I saw a specialist that does PAE. Looking at a CT of the abdomen and pelvis, he said that my prostate size is not very large, about 40 cc, and that PAE only works on larger prostates. Do you agree?
I’m a gynecologist and also need prostate surgery. This video is a little disingenuous implying that there’s “no harm to the prostate”. I sometimes send women for a similar procedure to shrink uterine fibroid tumors. Cutting off blood flow almost certainly causes some of the tissue in the prostate to die. It may be less likely to harm nerves but there is a small chance of cutting off blood flow to “non-target tissues “ like the bladder itself. No procedure short of complete prostatectomy is going to be permanent in all men. I’m still deciding how I want to proceed but have definitely ruled out a urolift.
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!
@@NetoperekMordulec 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.
How can you take the time to get on here and tell us you had a major reaction causing five days in the hospital and NOT even tell us what the reaction was? Good grief. Why did you even comment. No help at all.
@@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.
@@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.
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?
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.
@@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.
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
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...
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.
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?
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
Read that any blood or tissue from a shrinking prostate is reabsorbed by the body causing no pain or discomfort ... Traditional procedures for the prostate have a significant chance of incontinence and sexual dysfunction. This I know first hand from co workers, one had a radical prostatectomy and the other two had turps, it's been some months and they're still sitting on donuts and dealing with incontinence issues. For veterans, I just watched a video whereas the VA in Dayton (ruclips.net/video/h1nxAEzHKvo/видео.html) is doing PAE which would be helpful if a private insurance company is reluctant to pay for the procedure and if you're a vet of course.
I’m concerned about collateral vessels growing overtime resulting in having to have the procedure done again. Generally, especially in the heart when a vessel sis clogged eventually you developed new vessels to provide blood flow to that area
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?
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.
@@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.
@@happycamper5900 I have done the same back in jan 2023, 2 years later my prostate growing agin, thinking of PAE less side effects and very short recovery time
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 Holep 2 years ago… definitely a life improvement procedure. Had BPH for years..After a while the tamsulosin medication became ineffective, actually had to have a catheter placed to relieve symptoms while on a vacation. Reviewed options with my urologist in So Cal, and chose HoLep. Had to wait a few months to get the procedure while coexisting with the catheter. Should’ve addressed the issue years before because all the BPH issues are a permanent thing of the past. My surgeon, Dr Matthew Dunn at UCLA is one of the best in the country at this procedure and is teaching how to perform this complex procedure as well.
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.
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 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.
@@Jondjond Supplements like saw palmetto can only do so much. My pee used to be like a single hair, after I did this for the first time and peed normally, I cried like a baby, it worked. Sure, you might feel more comfortable, when dozens of people touches your thing and widens your urethra using a metal dilatator, which causes a permanent damage in 25% cases.
Think of an electrical wire that is in a protective pvc conduit pipe, why can't they devise a similar device that protects the urethra where it travels through the prostate? In other words a protective conduit- type pipe surrounding the urethra so it does not compress and block the flow?
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
@@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?
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
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.
Only problem with zinc supplementation is that there are ZIP proteins (zinc importer proteins). Zinc supplements could be free floating around in your blood and might not make it into prostatic tissue without an adequate level of ZIPs which decline as we age. Also, if you wait to have symptoms I highly doubt that any kind of supplementation will provide the level of relief one would be looking for. In hindsight I should have started Saw Palmetto or low dose finasteride in my 40's or 50's as there was a family history of needing TURPS. Supplementing with pumpkin seed or saw palmetto oil once things become a concern has not show much efficacy at least in my experience. Also, controlled studies have shown that saw palmetto has little to no effect, others quote studies that show some result. When participants were given a placebo and told there might be possible sexual side effects complaints doubled or tripled even though they were in the placebo group. Medications work great for some and are horrid for others just like PAE may or may not work for you. I'll most definitely go the PAE route before I have a urologist using what is essentially a soldering iron on my insides. Not to mention the possibility for incontinence and sexual dysfunction.
Why not mention Retrograde Ejaculation resulting from GREENLIGHT procedure! Not being able to ejaculate is horrible! Oh, and within a year, the symptoms retuned. Of the all of symptom, "dribbling" is the very worst symptom.
@DougdiGiovanni I agree! More like "dripping" in my case...I'm so damned mad about a procedure I was promised would let me sleep all night and piss like a 15 year old again, none of that happened, in fact...I'M WAY WORSE OFF NOW THAN BEFORE THE SURGERY!!
@@frankduran1069 I've never before thought that the dribbling was the result of the GREENLIGHT procedure. Ahhh, it makes so much sense now that you've made that connection for me. My urologist told me that none of the side effects listed on the consent form would ever happen. He was wrong about that too. Sadly, I'd had a really good relationship with my him before the greenlight. He'd done several things that helped a great deal. I have had kidney stones several times, as well as an orchiectomy. The orchiectomy was done as a hernia repair redo. I've come to feel really betrayed by medicine.
Dr pls explain, why NOT just remove the prostate? what are the side effects or the negative part. Or anyone with a real statistical answer NOT a kid at mummies basement.
Had Greenlight six years ago, by a uro who had done the procedure over 1000 times. Only two days on a catheter and virtually zero bleeding. Currently have a good, strong stream and highly recommend Greenlight by a Uro with lots of experience.
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
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?
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 is one treatment that we shouldn't get that is in your title?
click bait.
The TURP
Exactly???
No. He did say. It was the first one using Staples.
@@BooBoo586 Urolift?
I had the robotic Aquablation procedure 13 months ago. 108g prostate. 30g were removed. 24 hours in the hospital, 2 weeks of mildly pink urine. No post-surgical pain, peeing freely, most nights no getting up even once. I'm 72 and didn't care about retrograde ejaculation, my orgasms were not affected.
did you get retrograde ejaculation though?
@@danielriccardi6408 I did but I was given the choice not to have that.
The urologist asked me if that was important to me. It made a difference in how much tissue he would remove.
I didn't want that organ to regrow to the point that I would need surgery again at some point so I told him to bring his biggest apple corer.
A younger man who still cared about his swimming boys might have answered that question differently.
I was seeking a low risk once and done procedure, so decided to go with HoLEP which is now the gold standard.
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.
I bought the hype about REZUM. My urologist was all too happy to perform it $$$$. I had complications and lots of pain due to the Foley catheter. I had scarring in the urethra from the cath and scope. Scars were catching tissue and bladder stones. Complete nightmare. That was 3 years ago and Ive been dealing with chronic UTIs ever since. Im looking forward to PAE if my insurance covers. If not, Ill make a cash arrangement. I want my life back.
Had rezum done, yes painful and a week or two of discomfort with catheter, etc. On par with a difficult wisdom tooth pull.
Almost 5 years now, and everything is normal.
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
Yes, great comment
I had TURP procedure 3/28/2023...it made urinating harder than it was before surgery. I am now 21 months post turp surgery, I get up 3 to 4 times per night, haven't slept all night for YEARS! and have permanent retrograde ejaculations. I WISH MY DOCTOR NEVER TOLD ME TO GO THROUGH WITH THIS PROCEDURE!!!! I wouldn't recommend it to my worst enemy!
We all know that TURP is barbaric and should be FORBIDDEN!!!!!!!!!!!!!!!!
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).
I reseached turp first. And doctor lied saying just going to scrape away some tissue. I think quite a bit of tissue is removed. But things turned out ok.
What happens after 5 to 6yrs of the procedure, redo it again or what?
I had the PAE twice in University Clinic Frankfurt am Main (Germany, by Prof. Vogl) and it was both times brilliant. Not much side effects and no problems.
The ability for a normal ejaculation remain completely.
And! if you have issues later: the laser could be done if needed.
I important is a surgeon who knows how to do it.
would please tell why twice ??
How long does it last? A
5+ yrs
I saw a specialist that does PAE. Looking at a CT of the abdomen and pelvis, he said that my prostate size is not very large, about 40 cc, and that PAE only works on larger prostates. Do you agree?
was told the same and also they dont mention that you are exposed to a LOT of radiation during the procedure
What happens to the blood vessels downstream of the gelatine beads? It sounds like the tissue would die off.
I’m a gynecologist and also need prostate surgery. This video is a little disingenuous implying that there’s “no harm to the prostate”. I sometimes send women for a similar procedure to shrink uterine fibroid tumors. Cutting off blood flow almost certainly causes some of the tissue in the prostate to die. It may be less likely to harm nerves but there is a small chance of cutting off blood flow to “non-target tissues “ like the bladder itself. No procedure short of complete prostatectomy is going to be permanent in all men. I’m still deciding how I want to proceed but have definitely ruled out a urolift.
What is the ideal prostate size range for PAE?
as far I know no size limitatoin unlike with REZUM is limited to 80gm
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.
@@NetoperekMordulec 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.
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?
How can you take the time to get on here and tell us you had a major reaction causing five days in the hospital and NOT even tell us what the reaction was? Good grief. Why did you even comment. No help at all.
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.
@@ZonaJim Total respect for your comment about our fathers. At 74 now, I need to make some choice of my own.
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.
@@hankhalbert6542 now that's its over five months it's all good!.
Me too but 3 months ago in Minneapolis.
How would you rate the procedure and outcome?
Thankyou in advance ORANGEGUY
What's your opinion on urolift
May O have a PAE WITH A LOW EJECTION FRACTION?
My understanding from several urologists is that these surgeries are good for about 7 to 9 years on average.
Best thing i have ever done, no bleeding 6 days later, and i feel great
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...
@@nicasietenicasiete7358may you shared the link to watch it? Please
@@silaslongshot941 you pee it out.
I had a PAE. Excellent result
Did you stop taking pills due to the procedure?
@@yanivhaim2678 Yes. Still going well without any medicines
@@yanivhaim2678 Yes.
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?
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.
Where i can found this treatment,, in bangladesh available
How and where do you get into the artery and how do you direct it to the prostate?
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 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.
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.
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 🤔
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
Read that any blood or tissue from a shrinking prostate is reabsorbed by the body causing no pain or discomfort ... Traditional procedures for the prostate have a significant chance of incontinence and sexual dysfunction. This I know first hand from co workers, one had a radical prostatectomy and the other two had turps, it's been some months and they're still sitting on donuts and dealing with incontinence issues. For veterans, I just watched a video whereas the VA in Dayton (ruclips.net/video/h1nxAEzHKvo/видео.html) is doing PAE which would be helpful if a private insurance company is reluctant to pay for the procedure and if you're a vet of course.
I’m concerned about collateral vessels growing overtime resulting in having to have the procedure done again. Generally, especially in the heart when a vessel sis clogged eventually you developed new vessels to provide blood flow to that area
Overactive bladder and enlarged prostate: any combi solution ?
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 did PAE and still have to go to bathroom 3 times per night.
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
How much is a procedure like that, gonna cost?
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.
I am guessing your IR did a lousy job of coiling the collaterals or did not coil at all.
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 ?
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.
@@happycamper5900 I have done the same back in jan 2023, 2 years later my prostate growing agin, thinking of PAE less side effects and very short recovery time
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.
@@happycamper5900 I had HoLEP. Mitchell Humphreys Mayo Hospital Phoenix AZ.
I had Holep 2 years ago… definitely a life improvement procedure. Had BPH for years..After a while the tamsulosin medication became ineffective, actually had to have a catheter placed to relieve symptoms while on a vacation. Reviewed options with my urologist in So Cal, and chose HoLep. Had to wait a few months to get the procedure while coexisting with the catheter. Should’ve addressed the issue years before because all the BPH issues are a permanent thing of the past. My surgeon, Dr Matthew Dunn at UCLA is one of the best in the country at this procedure and is teaching how to perform this complex procedure as well.
@@taf_motorsports Thanks. I had a Holep 2 weeks ago. Recovery is slow. I was hoping for better results.
Only thing and nothing against this doctor but they all promote whichever procedure they do. I do like this procedure the most though…
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
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 PAE only lasted about a year for me. Don’t fall for the hype.
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.
😳
Nein danke!
@@Jondjond Supplements like saw palmetto can only do so much. My pee used to be like a single hair, after I did this for the first time and peed normally, I cried like a baby, it worked. Sure, you might feel more comfortable, when dozens of people touches your thing and widens your urethra using a metal dilatator, which causes a permanent damage in 25% cases.
Is it possible to get a urolift done first then followed by PAE to get immediate and then long lasting benefits?
why not just slip a plastic tube into the canal that is adjustible in diameter?
Think of an electrical wire that is in a protective pvc conduit pipe, why can't they devise a similar device that protects the urethra where it travels through the prostate? In other words a protective conduit- type pipe surrounding the urethra so it does not compress and block the flow?
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
We’re is HOLEP ?
What is the treatment we should never get?
I believe they are all m painful
It's a pity you don't mention HOLEP and REZUM as alternatives.
HoLEP rocks!
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
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.
Only problem with zinc supplementation is that there are ZIP proteins (zinc importer proteins). Zinc supplements could be free floating around in your blood and might not make it into prostatic tissue without an adequate level of ZIPs which decline as we age.
Also, if you wait to have symptoms I highly doubt that any kind of supplementation will provide the level of relief one would be looking for. In hindsight I should have started Saw Palmetto or low dose finasteride in my 40's or 50's as there was a family history of needing TURPS.
Supplementing with pumpkin seed or saw palmetto oil once things become a concern has not show much efficacy at least in my experience.
Also, controlled studies have shown that saw palmetto has little to no effect, others quote studies that show some result. When participants were given a placebo and told there might be possible sexual side effects complaints doubled or tripled even though they were in the placebo group. Medications work great for some and are horrid for others just like PAE may or may not work for you. I'll most definitely go the PAE route before I have a urologist using what is essentially a soldering iron on my insides. Not to mention the possibility for incontinence and sexual dysfunction.
He forgot about REZUM
All of this sounds rather primitive. You haven't addressed the underlying cause of the condition to begin with.
If your gonna go in there do it once and do it rite
Why not mention Retrograde Ejaculation resulting from GREENLIGHT procedure! Not being able to ejaculate is horrible! Oh, and within a year, the symptoms retuned. Of the all of symptom, "dribbling" is the very worst symptom.
@DougdiGiovanni I agree! More like "dripping" in my case...I'm so damned mad about a procedure I was promised would let me sleep all night and piss like a 15 year old again, none of that happened, in fact...I'M WAY WORSE OFF NOW THAN BEFORE THE SURGERY!!
@@frankduran1069
I've never before thought that the dribbling was the result of the GREENLIGHT procedure. Ahhh, it makes so much sense now that you've made that connection for me. My urologist told me that none of the side effects listed on the consent form would ever happen. He was wrong about that too. Sadly, I'd had a really good relationship with my him before the greenlight. He'd done several things that helped a great deal. I have had kidney stones several times, as well as an orchiectomy. The orchiectomy was done as a hernia repair redo. I've come to feel really betrayed by medicine.
Informative, yet very biased
Did I miss it, or was there no mention of the "One treatment you should NEVER get"?
idk but the stapling one (which I've never heard of anywhere except in this video) sounds pretty lame.
HoLEP is one time shot!
I found him...
Where it is,please tell me
The only problem is no Urologist explains that you may not be an ideal candidate if you have a medium to smaller prostate.
Dr pls explain, why NOT just remove the prostate? what are the side effects or the negative part. Or anyone with a real statistical answer NOT a kid at mummies basement.
many side effects you don't wanna think of is , removing prostate done only with probate cancer
do NOT get the green light surgery
Why, what happened?