Prostatic Artery Embolization | New Outpatient Treatment for Benign Prostatic Hyperplasia Webinar

Enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a common urological condition known to cause a range of urinary problems. Fortunately, the Prostatic Artery Embolization (PAE) procedure is a minimally invasive outpatient procedure used to successfully treat BPH with lower risk of urinary incontinence and sexual side effects, when compared with more invasive surgical procedures. Interventional radiology expert, Dr. Brian Holly, discusses the procedure and how it may be the solution you are looking for.
To request an appointment, please call 410-502-6611 or visit bit.ly/HopkinsPAE.

[@MikeCTRVLR]

this is an excellent video. I have reviewed numerous KZbin videos covering everything from turp to eurolift. This is the procedure that I feel is best for me at age 78 and not wanting to be tied down waiting several weeks for healing and removal of a catheter. however, my urologist is a traditionalist and is not open to getting PAE. I’m going to need to find a local interventional radiologist who wants to take my case on. I hope I don’t have to lose my urology practitioner. However, my comfort is of upmost importance.

[@johng2116]

Thanks for the video. Are there any negative affects from the smaller prostate - ie low amount of semen? Thanks

[@johngranato2673]

Dear Doctor: Assuming a patient with BPH has the PAE procedure and his prostate shrinks by 25% over time, does the prostate remain this reduced size or do you find that it later resumes growing?

[@JohnsHopkinsMedicine]

Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication. For specific questions, we suggest reaching out to a doctor directly.

[@johngranato2673]

@@JohnsHopkinsMedicine Okay, do any studies reveal the continued growth / enlargement of the prostate in those study participants who underwent PAE? Thanks

[@ahmetgider2588]

Başarısız sonuç aldım.

[@robjus1601]

In doing PAE is it always necessary to use dyes to highlight blood vessels?

[@mikemeyers7924]

I think the cost makes it prohibative for most patients. Outrageous for such a simple procedure.

[@seascape35]

Are grams equivalent to CCs in the prostate? My MRI said how many CCs my prostate was, but I would think it to be hard to say how many grams it weighed in a living person. Anyone know the answer?

[@seascape35]

Yes to your first question. I have researched this for my own prostate. Basically, each gram in weight of water at a certain temperature is equal to one CC in volume. The prostate is more than water, but close enough for practical purposes of comparisons. So, if your prostate is 70 CC on the MRI, it weighs about 70 grams, more or less. Urologists will use these measurements interchangeably.

[@kevindegalbraith7894]

Thompson Brian Lewis Brian Jackson John

[@Retiredtraveler1961]

I just had mine done & it was without incident. Other than feeling like I had an ostrich egg up my bum the first day, I never used Pyridium or naproxen. Steroids and antibiotics were all I needed. One month out I’m noticing improvement. Be advised, my insurance was billed $24,750! Ouch!

[@ostbob4108]

What antibiotic was prescribed?

[@lespaul1755]

Thanks for the info

[@tangatoto362]

Umm… having now had PAE , I can pass on the warning to NOT expect any instant beneficial results. In my case I had to endure a week of chronic incontinence which then slowly (slowly) dissipated over the next 6 weeks. Despite what you may be told or read, compromised sexual functionality is a real possibility and, again despite what you hear or read, PAE will do nothing to mitigate chronic prostatitis. When asked how long I should endure the after effects of the PAE procedure before deciding if the “new normal” was actually an improvement or not, I was told 3 months! I’m yet to reach that time so still in the dark.

[@janetw9430]

My husband wants this, he has taken Flomax but he faints from it.

[@HektorBandimar]

Tell him to stop taking them immediately.

[@joeblow9548]

My prostate has enlarged from taking trt replacemnt..no cancer..would this be the fix for this issue,,thx

[@stephencochrane1961]

I have significant urine retention. I have a lobe from the prostate up in my bladder. Can PAE treat that lobe along with the prostate itself or does it rule PAE out? 1/2/2024

[@steveg6978]

Any research on these particles getting loose and causing problems elsewhere?

[@JohnRiccio-p1r]

Can these particles move around and cause blockages anywhere else in the body causing stroke or heart attack?

[@dulcemantilla290]

Thank you for this webinar very interesting class

[@waterman3230]

excellent video. Have you ever tried this method with the glue instead of the particles?

[@MrJOHNMICHAELVEGA]

PAE did not work! Why?

[@seascape35]

Do you use anticoagulation during the PAE in order to avoid any non-prostatic emboli?

[@jonmaher2531]

Could I do this and subsequently pursue brachytherapy treatment for intermediate risk cancer? Right a way or how long after PAE?

[@JohnsHopkinsMedicine]

Hi, thank you for reaching out to us. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication. If you would like to request an appointment at one of our hospitals, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, financial counseling, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.

[@PhillipR-x3l]

isn't rezum a lot more effective. takes less time and the recovery is less. diesnt the steamed water do the same thing?

[@lindacezanne1576]

Thank you for this informative presentation. Can you have Aquablation after PAE if ever necessary? I hope this falls into the category of "no question is stupid!"

[@DonOneDetroit]

I was told by a urologist that you can have any procedure subsequent to the PAE, which is a benefit to this procedure.

[@lindacezanne1576]

@@DonOneDetroit Thank you!

[@tmthanhable]

​@@DonOneDetroitafter PEA, patients need adjuvant medications and may then need surgery such as TURP or HoLEP and so on!

[@barbarahignite1610]

My husband isn't able physically to have other procedures for prostate. This was a only & last option. He had it yesterday at another facility, as we live out of state. Hoping it will help some at least! The meds drop his BP, but he takes them

[@jspbipro]

How did it go? Thanks 😊​@@barbarahignite1610

[@joeblow9548]

The obvious question is how long does it last

[@dumitrustoica-n7g]

No thank you,

[@seascape35]

What are the beads made of? And do they get absorbed eventually?

[@JohnsHopkinsMedicine]

Thank you for your question. To find out more, call 410-502-6611 and speak directly to the Johns Hopkins Interventional Radiology Center to schedule a consultation.

[@paulocurado7967]

Im 42 years old. Am i too young young to have this surgery ?

[@JohnsHopkinsMedicine]

Hi, thank you for reaching out to us. Because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication. If you would like to request an appointment at one of our hospitals, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, financial counseling, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.

[@rongilbert3067]

Don't do this! Prostate Arterial Embolization DOES NOT WORK!! I had it done at the City of Hope in California. It didn't shrink my prostate at all. All my LUTS symptoms continued and even got worse. I'm trying the iTind Procedure which boasts a much higher success rate than PAE.

[@dumitrustoica-n7g]

So you had I tend, how that work out for you!