Prostate Artery Embolization for Enlarged Prostate: Dr. Sandeep Bagla Explains This BPH Treatment

[@Tridhos]

That must be the gold standard for any KZbin video explaining PAE.

[@tjhsmith]

I had my PAE three weeks ago. I’m already experiencing a huge improvement in all of my BPH symptoms. The procedure itself is easy and painless. However, the first 48 hours after the procedure was really rough for me. A lot of pain and very, very frequent urination. Those unpleasant symptoms gradually improved during the first week or so. Now I’m feeling great. Sleeping through the night and peeing like 30 years ago.

[@tonyhoward844]

Excellent presentation, have had bph for 20-25 years. Had a very uncomfortable, waste of time, TUNA procedure 18 years ago. This is very promising, thank you so much

[@hohoho4138]

Did you do it? I am trying to figure out also

[@georgebowen3925]

I had this procedure ( PAE) done 4 days ago by one of Sandeep Bagla's colleagues. Sandeep I believe was also monitoring. It was virtually pain free, just a tiny pinch when entering the artery. It was great relaxation from the Valium and twilight- IV for the 1-hour procedure. Next day I felt nothing, everything was as normal. 3rd day I felt some pressure around my Perenium and was urinating frequently. 4th day all that subsided and now everything feels normal again. The PAE procedure is truly nothing to worry about guys

[@bl6369]

Thanks for update. How are you doing now?

[@georgebowen3925]

@PureImpact I feel great 2.5 weeks later. I'm starting to feel the benefits. No more waking up in the night to pee 🙏

[@bl6369]

@@georgebowen3925 that's awesome to hear. I have an enlarged prostate. Have all the symptoms . But so far everything is manageable. Just have to be careful not to drink too many fluids at times. I just want to know what's available if the time comes. Appreciate the feedback.

[@georgebowen3925]

@@bl6369 Took me 10 years of going through the process you're going through. But I finally did and glad it did. It honestly is not bad

[@jimzimmerman5288]

What does it cost?

[@JohnMinichiello]

I had this done PAE on Dec 6th it is now the 8th = pissed fire and razor blades for two days now pain is a 3 from 10 flow is great with little medication soooooooo GLAD I Had this done should be the Gold Standard !

[@fotman]

A 10 pain from this? Can't take pain meds?

[@bl6369]

Thanks for info. So basically discomfort for 2 days? How did you deal with the pain peeing?

[@AlfredoLopez-gp6en]

Hi my friend how are u doing?

[@DnBarPoet77]

Did you have both sides of your prostate treated?

[@johnbrown4568]

Very well presented overview of a variety of interventions for an enlarged prostate .

[@johnlogsdon2522]

Fabulous! Best of the best Dr. Bagla and Dr Gropper

[@jspinosa50]

Best thing I ever did. In 7 days It worked, unbelievable!

[@trainmaster0217]

Thank you doctor so much for making this excellent video. I've learned a lot. I've had 5 surgeries for kidney and bladder stones that left me with scar tissue that left me with problems urinating. Had to have a meatotomy which helped just a little as I spray when urinating now. Being afraid of having more surgery into my penis this PAE sounds really good. My prostate is 120 cc but with medication I'm not having any problems urinating ....so far. Super video. Thank you.

[@andrewthomson6851]

Hi, I had PAE done in Sydney Au last October 2021. I ended up with ischemia of the rectum which was the most debilitating thing I’ve ever experienced. It lasted for over four months until it came right. As for my prostate problems the PAE did the job. My radiologist failed to explain to me about my rather large 250cc prostate could cause extra problems. But I’d recommend PAE to all.

[@sharadshah6827]

Address who do PAE in Seattle USA.

[@jackclubs6919]

Finally a honest Dr

[@Lakeslover2]

Amazingly informative, thank you from someone starved of information in the UK.

[@jayscherotter0169]

Had a Rezum procedure done 2.5 years ago. Went off medication and had a great result for about a year, then symptoms not only reoccurred, they got worse. Have an appointment here in Phoenix Az to learn about PAE next week.

[@AlfredoLopez-gp6en]

Let us know how it went stay strong this is a horrible painful desiease

[@ElonMusk4FreeSpeech]

Did u survive it???

[@timeddy5549]

Where in phoenix?

[@whatdoyouknowkid]

I had Dr Sandeep do this procedure in Apr. 2017. It went very well, no problems. Over time, since we only did one side of the glad I found I needed to take Flomax again. Plan to due the procedure again to hit the other side of the gland to get off the Flomax. Nothing worse than having to depend on a pill to pee.

[@bobbender5858]

This was an excellent presentation. I was wondering which doctors in the Newport Beach re perform PAE.

[@MediFind]

Hi Bob - thanks for the compliment! It looks like UCI has a PAE center: www.ucihealth.org/medical-services/radiology/interventional-radiology/prostatic-artery-embolization. If you're able to get up to UCLA, you could also look into the team there, including Dr. McWilliams and colleagues: www.medifind.com/conditions/prostatic-artery-embolization/6366/doctors/justin-p-mcwilliams/21605428

[@bobbender5858]

@@MediFind thank you 🙏!!!!

[@MCoppolinoMcD]

Superb presentation!!! Thank you.

[@samuelfrank6483]

Im in the Houston TX area and there are 2 locations that do PAE. I have had the Laser Turp which did nothing and blockage returned. My urologist wants to do the TURP but I refused. Would PAE be affective for me?

[@kenweiss6720]

Hi Dr. Bagla, Does Median Lobe intrusion into the bladder pose a problem for a PAE? If so does Aquablation make more sense? How many years does PAE stop urgency, and frequency of flow?

[@MediFind]

Hi Ken - It's best to talk to an expert like Dr. Bagla for your specific medical questions. You can get in touch with Dr. Bagla and request an appointment here: www.medifind.com/doctors/sandeep-l-bagla/19053333

[@lp2565]

What is better, going through the wrist or through the groin to complete the PAE? Is a catheter required after the procedure, and if so, how long is the catheter inserted before it is removed?

[@jeffj318]

No catheter. Groin or wrist is up to you and the doctor.

[@ZePereira2000]

Thank you for sharing.

[@bethbrowne4905]

My husband had a urolift procedure in 2017. Now encrustation occurred when minerals from the urine deposit on the surface of the indwelling urolift implant. On 3/30/22, he had a cystolitholapaxy procedure to remove the "stone" encrusted on one of the implants. At the follow up visit, the urologist told us that only 50% of the "stone" was removed and my husband have to undergo another cystolitholapaxy procedure to remove the remaining "stone". My husband has low pain threshold, it was exhausting to take care of him postoperatively. He took Norco before bedtime, due to the constant irritation after the procedure. Then the narcotic induced sleep apnea happened, his pulse ox dropped to 88% at one point. It was a sleepless night for me. In my opinion , I do not recommend urolift procedure, it is a good quick fix but does it worth to go through the potential pain and sufferings in the future? Will my husband benefit from the PAE procedure now? What could happen to the remains urolift implant?

[@MediFind]

Hey Beth - It's best to talk to an expert like Dr. Bagla for your specific medical questions. You can get in touch with his office and request an appointment/consult here: www.medifind.com/doctors/sandeep-l-bagla/19053333

[@projectx-22racing85]

Dr. Bagla, I have urolift clips that were installed in 2017 and my prostate is getting larger. Would I be a candidate for the PAE procedure?

[@MediFind]

Hi there - It's best to talk to an expert like Dr. Bagla for your specific medical questions. You can get in touch with Dr. Bagla and request an appointment here: www.medifind.com/doctors/sandeep-l-bagla/19053333

[@johncunningham60]

Get it done..its a miricle procedure

[@sailwinds69]

Dr Bagla where are you in Virginia and do you take out of state patients for this PAE? I currently am in a cathelter since thanksgiving and need my prostate reduced so I can pee again...I live in Reno NV do you know anyone fairly close that does PAE or can I come to you...I have a urologist who is only going to do a biopsy for cancer I do not have--I need a procedure to reduce the prostate and its stopping up my uretha....a biopsy I think is a waste of my time PSA 9 prostate 3x larger than normal MRI from dec 2021 of prostate shows no cancer PK scores say no cancer....I NEED HELP please thanks

[@MediFind]

Hi Steve - You can reach Dr. Bagla and the team at Prostate Centers USA on the East Coast here: www.prostatecentersusa.com/

[@DeathSentryCoH]

will oxybuterin help with the urgency post-procedure?

[@daveyvane]

I had PAE 12 days ago. My size was 80, I am amazed because I feel everything is normal after 10 days. Carefree peeing. Hard to imagine it improves more - I am already totally satisfied. The reason for my surprise is they could only do the LH artery and some RH collaterals. So in the future, I can get the RH done for more!

[@LeoCruz-v5b]

Can you give us an update since you had the PAE. Thanks

[@ginoadum85]

Can PAE be best for a median lobe vs Urolift? I understand Urolift will only ve effective for side lobes.

[@jefferypotter6310]

Excellent presentation. Thank you

[@elixtido1448]

Does pae work for somebody who has seeds in their prostate

[@gerryjamesjames2418]

Who would you recommend in Jacksonville Florida? Thank you

[@DnBarPoet77]

Two questions: 1. What size (micron) beads do you use or do you prefer in order to have the best results? 2. Should both sides of the prostate be treated at the same time (does it make sense to only treat one side or why would only one side be treated)? Thanks

[@DukeofHesse-he7bu]

I had a PAE two days ago. My perspective; The most painful part - and it's really not - is the needle in the arm to provide any meds that might be needed. I found that the most difficult part was having to lie motionless for a couple hours. I got an itchy nose, an itchy eye, etc. Nurse had to keep scratching them for me! Also my penis got in an awkward position that I so badly wanted to fix and couldn't and certainly wasn't going to ask the nurse for help with that. The procedure itself is nothing. The second biggest issue I had was having to lie still for another two hours after the procedure to make sure nothing got knocked out of position I guess. The worst part was that I got serious rectal pain that night. Fortunately I had on hand some opioids that helped with that. By morning, I was no longer in pain. Only other thing was mild discomfort in my abdomen.

[@jimwise4029]

I'm sure the nurse would have helped you rearrange your penis so you would be comfortable

[@garycarter2069]

Hi, I have a very Large Prostate 325 GM. Is this procedure indicated for very large Prostate

[@slarcker]

Hi Gary - We suggest getting in touch with Dr. Bagla's office to discuss your specific case: www.medifind.com/doctors/sandeep-l-bagla/12983442

[@andrewthomson6851]

Yes, mine was 250cc and have had over 60% shrinkage. I had a MRI done 4 months post and it had shrink to 100cc with further shrinkage to come. All my problems solved.

[@bl6369]

@@andrewthomson6851 wow amazing? I have a large prostate but not sure size. How do you feel now?

[@AlfredoLopez-gp6en]

@@andrewthomson6851 thank u how are u doing now?

[@andrewthomson6851]

@@AlfredoLopez-gp6en Hi Alfredo, I’m excellent thank you. Couldn’t be better regarding the prostate.

[@silaslongshot941]

Had Urolift procedure twice, as only lasted about a year each time. Back to same symptoms yet again. So, with the PAE, blood to the prostate is blocked. What happens to all that now dead tissue, the necrosis of all that? Rots away?

[@joepelano4518]

The Dr said that the prostate does not completely die. The prostate can not function on limited blood supply so it shrinks to work with less blood.

[@unstoppable-cg1hi]

Plerase explain who will not be a good candidate for this procedue

[@Retiredtraveler1961]

I had this done in September 2023. The procedure was painless, I did feel like I had a goose up my bum the afternoon of the procedure, which lasted for about three or four hours, I took some Motrin, and that was the end of it. I never required any peridium, but I did take the antibiotics and the steroid pack They gave me which I’m sure made a difference. three or four months later I can say that it’s definitely helped and effective. What if I’m fascinating is that the outpatient procedure with no anesthesiologist built my insurance $24,700 for a two hour procedure. That seems pretty crazy to me.

[@generalaccount576]

My current Urologist is not "pro PAE". He believes the procedure is too new, poses unnecessary risk, and there isn't enough data to support this as an option. As a result, I had a Urolift procedure which did help my urinary retention, did nothing to treat my prostate size (73cc). Although I disagree based on my own research, I'm wondering if PAE would still be of benefit after my Urolift?

[@MediFind]

Hi there - Thanks for your question. It's best to talk to an expert like Dr. Bagla for specific medical questions. You can get in touch with Dr. Bagla, including requesting an appointment, here: www.medifind.com/doctors/sandeep-l-bagla/19053333

[@islandknight6105]

If you had a recent Urolift why are you looking for something else so soon?

[@chandubodapati700]

@@islandknight6105 hahaha

[@johncunningham60]

Your urologist does not want to lose a customer..duh..figure it out..I had it done to avoid invasive procedures

[@johncunningham60]

Pay attention to this doc..there is more data on pae than urolift

[@milt2234]

Who would you recommend in the Dallas area?

[@MediFind]

Hi Milt - It looks like there is a practice at UT Southwestern with expertise in PAE: utswmed.org/conditions-treatments/enlarged-prostate/. In particular, Dr. Kenneth Goldberg is in practice there, so might be a good place to start: www.medifind.com/conditions/enlarged-prostate/5779/doctors/kenneth-a-goldberg/20169552

[@miltong.wright]

Who would you recommend in the Austin, Tx area?

[@samuelchandrashaker2020]

How much does it costs for PAE?

[@jeffj318]

Medicare and some insurance companies will cover.

[@joelb099]

I would like for this guy to be MY doctor..and that speaks VOLUMES... The one thing he needed to explain is that the REASON why PAE could fail in 5-10 years is because 5 years after the procedure, NEW blood vessels grow back to the prostate to replace the ones that died or no longer work. Does this happen in everybody?.. My doc says yes, but again- when you look at the other procedures that REMOVE tissue from the pee channel inside the prostate., those tissues that were removed during turp, for example WILL grow back in 5-10 years as well. So NO precedure is foolproof for say 20 years..

[@GoodTV285]

They also take nerves with it PAE is much better

[@comfortablynumbly]

Could you recommend a quality radiologist in the palm beach county Florida that offers this treatment? Thank you in advance

[@MediFind]

Hi there - While we can't endorse any specific doctor or team, our data indicates that the team at Baptist Health performs PAE (here is one of their interventional radiologists: www.medifind.com/conditions/prostatic-artery-embolization/6366/doctors/govindarajan-narayanan/21141774), as does the team at University of Miami (www.medifind.com/conditions/prostatic-artery-embolization/6366/doctors/shivank-s-bhatia/19723692). Hope this helps!

[@comfortablynumbly]

@@MediFind Thank you for your prompt reply unfortunately neither link you posted opened for some reason :(

[@MediFind]

@@comfortablynumbly Sorry about that! If you visit MediFind (MediFind.com) and search on "PAE" near your in PBC, you see these doctors pop up in the results so you can learn more about or contact them.

[@nandadulalsaha0927]

My prostate gland size 24 gm and PSA is 1.08 ng there was no bleeding no infection no cancer germ but uroflow very slow and 6 times at day and 2 Times at night. So TURP operation necessary for me or OIU operation solved the problem. My age is 63 years.

[@zebronebotha2618]

Whats the cost of the procedure

[@MarkR2367]

What is to keep these little grains of sand that you're using to cause the embolization, from becoming dislodged and causing problems somewhere else in the body?

[@hamad5561]

In interventional radiology the procedure are super selective, meaning we try to go to the most distal artery we could to not cause any non-targeted embolization. However given the one direction of the arterial blood flow its not possible for the embolic material to dislodge.

[@tunhlaing9702]

I would like to know the cost thanks

[@joeblow9548]

Is this the same procedure as a varicocele embolization

[@sheshakn4721]

Hi I had PAE done by expert Radiologist at Leading hospital in new delhi, inida, It is already 12 days over, now still my urinary track burning while urination is happening in spite of taking anti -biotic tablets taken for .for 3 to 5 days. Pl explain me it usual and it will take few more days to come back to normal ? OR any further medicine is required ? pl explain.

[@TRICK-OR-TREAT236]

THEY WILL NOT EXPLAIN ANYTHING HERE OR ANSWER ANY QUESTIONS. I CAN TELL YOU THIS. NEVER TRUST ANY DOCTOR TO TELL YOU THE TRUTH. THEY DO THESE PROCEDURES FOR ONE REASON ONLY. MONEY. BECAUSE OF THAT EVER DOCTOR WILL TELL YOU THEIR PROCEDURE IS THE BEST REGUARDLESS OF WHAT IT IS.

[@JanetSingh-lj1yc]

Hello Dr. My husband had a orodtrate dize of 50 cc . He is using medication but is getting lots of effects like swing heads runny nose. Do you think surgery will make him well. I am from a different country n would like to know the cost. Thank you

[@CS-yg5be]

Chuck stemple who does the PAE in Oregon or sw Washington

[@robin5382]

Can patient who has a median lobe enlargement with BPH eligible for prostate artery embolization? I am an RN would like to have an idea about the subject of the median lobe enlargement and which patient would benefit from this procedure as well as other procedure which address this disorder. Thank you.

[@fazilm1]

Excellent 👍

[@bob-o8550]

Any Dr in central Louisiana do this

[@andrewfrench8100]

Lacyoftbe lake in BR (Essen )

[@ierwin88]

I was astounded when a PA of my cardiologist (note: not a urologist) said that the procedure was to go into the wrist!!!!! to the prostate artery. I said what the Hell! He said it goes in a vein by/through a connection of the veins and arteries outside the heart into an artery down to the prostate! This doctor also said the entry could be through the wrist or the groin. As a professional engineer the wrist entry seems TOTALLY CRAZY! Sorta like driving from Southern Florida to San Diego by going through Detroit! Is there any reasonable explanation for a wrist entry?

[@hairywhodini3429]

I've had urinary problems associated with bph for over 30 years, and I'm only 46. I had an ultrasound done and prostate volume was 33.4 cm. I know there are other factors to look at, but would you consider this too small to have this procedure done? I'm also looking into aquablation; I would prefer PAE, but also don't want to waste time if most Drs would consider this too small. The Dr who ordered US has not responded to my email Thank you for any insight you could provide Improvement of these issues would change my life Really want something non-invasive; I don't want them cutting on me

[@tunhlaing9702]

May I know the cost

[@gosneygosney]

Geeen light laser recommendation comparison.

[@josephbriggs9790]

What are your thoughts on HoLEP?

[@MediFind]

Hi Joseph - Please consult a doctor for your specific medical questions. You can get in touch with Dr. Bagla and his team here: www.medifind.com/doctors/sandeep-l-bagla/12983442

[@IBN-n3q]

can i get prostate artery embolization before age 25 so that it doesn’t grows in the first place?

[@rajauppalapati7104]

Excellent dr. Sandeep. Could you please suggest the best PAE centers in India? Appreciate it

[@healyou4243]

Hello sir i am a MD medicine from india....age 37 ..suffeing from severe burning in urine, rectum, severe penile n rectal pain....foreign body sensation in anus .... periprostatic block with lidocaine takes away all symptoms for 38 hours ...At PGI chandigarh urology+ IR is suggesting me for a pae...would it help...please reply sir Regards Dr Rishu saxena MD medicine

[@lowrypierce8054]

At "The Ohio State University", PAE is done in the Interventional Radiology Dept. It is a six hour procedure lying flat on your back and awake. A Foley Catheter and urine collection bag is used. Local anesthesia. Six hours of radiation, Wow! A very long time to be awake and stressed out. Very scary I think. Can't handle that.

[@johncunningham60]

That's bullshit..2 hrs..most piece of cake.relaxing I've and you sleep maybe and done..no catheter either..yiu have very bad information

[@jeffj318]

Incorrect information.

[@stevegeorge961]

Not true My actual procedure time was about a hour. They never put a catheter in me. I checked in to the university of Kansas at 9am. Was riding home by 1:30pm

[@bjtowns9554]

Instead of all these treatments why dont they find the cause of prostate inflamation? so we cam cure the symptoms permanently.

[@AlfredoLopez-gp6en]

Eat rt excersise no stress testoserone lvl high etc etc

[@daveyvane]

Yeah, you get to work on that.

[@hawaiiangunner]

Im very angry. 2 weeks out of urolift surgery. My urologist never said a damn thing about this being available. F F F!!!!

[@daveyvane]

Urologist don’t get money from this

[@hawaiiangunner]

@@daveyvane that's exactly why I'm upset.

[@hawaiiangunner]

I'm surprised they don't do this in conjunction with urolift

[@universaldonor3100]

how much radiation is the patient exposed to....are there cancer risks associated with PAE?

[@IRCentersUSA]

There is minimal X-ray radiation when performed by experienced operators and there is no increased risk of cancer

[@universaldonor3100]

@@IRCentersUSA thank you for your reply; does having intrusion into the bladder by medium lobe pose a problem for a PAE procedure?

[@stevegeorge961]

Its only last for about a year

[@daveyvane]

Stop using the “gold standard” marketing term. It sounds like you are selling aluminum siding or car undercoating”