Prostatic artery embolization: A non-surgical treatment for enlarged prostate | UCLAMDChat

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[raymondburgess]

28 years in the medical field I can say, this is an outstanding video. During my research nothing has been as educational, easy to follow, & understand. I will be contacting my Local VA about this procedure. They had sent me a pamphlet on PAE to inform me of the process. Thank you very much for this.

[bretedwards]

Can’t say enough about this procedure—life changing. I tried flomax for years, and then Rezum back in 2020. Nothing worked that well until PAE. Mostly sleeping through the night for the first time in years. Recovery during the first week is challenging, but well worth it.

[ulindmark]

I had this procedure with Dr. McWilliams a few months ago and couldn’t be happier with the results. A year earlier I had the Urolift procedure with a local urologist, but that procedure failed and was painful. My prostate was large, 100 cc, which is likely why Urolift failed.

I actually learned about PAE watching this video. You will need someone to drive you home after the procedure has been completed and you have rested for a few hours, but compared to other procedures no catheter is needed and for me the recovery was easy. I have to say it is a good feeling to be able to turn back the clock 30 years and get a good night sleep. I highly recommend PAE and Dr. McWilliams.

[GarfieldTheater]

THANKS. In 21st century, way beyond time for this NEWER procedure.

[rickh]

I had a TURP 4 months ago (11/29/21) and didn't investigate this PAE procedure because my Urologist said a TURP would solve my problem. I waited too long to do any doctor shopping for alternatives. Two years ago my prostate was 82cc's. I am 77 years old in good health. I was getting a lot of prostate infections and antibiotics were not working anymore. I took 50 days of antibiotics and the minute I stopped the pain came back.
So I'll tell you how my TURP went. Surgery was easy. I don't remember anything but taking about 8 deep breaths of some gas and it was lights out. Took about 1.5 hours until I woke up. Stayed in hospital from noon one day until 6:30pm the following day. Catheter was removed in the morning. It was a HUGE rubber hose about .5 inches in diameter. No wonder my urethra is not happy. I had pain and frequent urination bad during day. I think they gave me narcotics twice. I'm thankful for my doctor keeping me overnight. I needed help. Doctor sent me home with no narcotics for pain. I think that is a NY thing after the oxycontin abuse flap. I live alone and was able to drive and take care of myself the next day. I have been back to see doctor 5 times since the surgery because I still have serious pain and frequency after 4 months. He says I have no infections so hang in there. Not much improvement since before surgery in my view. He has given me all kinds of medications and I have tried all the OTC pain pills I can find. None work so I have terrible nights and this has been really hard to endure. The good thing is he removed and sent 22cc-30cc of prostate tissue to pathologist and the results were NO CANCER found. I keep thinking he removed 26-33% (tissue shrinks between surgeon and pathologist) of my prostate with no infection or cancer. That is good thing. Now all I need is to endure until frequency and pain during urination are gone. I worry I have some other problem he hasn't found yet. I am peeing something that looks like skin every urination and that is what causes the burn/pain. I think I am still healing. Weird after so long but he assures me I will get better.
Every man is different so that is why you need a doctor to advise you.
My only suggestion is don't wait like I did. Find a doctor that does a procedure you like in advance and get ready for the inevitable. Your prostate will do nothing but keep growing. Eventually it may cause an issue so be ready and pray for no cancer. My PSA was 6.6 and I am convinced the bigger the prostate the higher the number. I had several prostate MRI's that said
"very low probability of cancer". Never had a biopsy for fear of sepsis. Best wishes to all.
Rick H Buffalo, NY 04/02/2022

[joet]

Great to see technology continues to improve in this area ! 👍

[sylviamolina]

Great presentation! Dr. McWilliams is an excellent doctor.

[johngranato]

I emailed this doctor several months ago and I was very happy with his knowledge, advice, rapid response, and his politeness. We actually emailed each other several times over the course of an hour or so. So helpful. I will undergo PAE at the University of Miami Medical Complex in the next few months.

[gopalannp]

This is just the best talk I have heard in recent years about BPH and other problems related to prostrate. The Doctor has indepth thorough knowledge on the subject and his presentation of the topic is precise and unique, that is what exactly we expect from a medical expert. My salutations tothe Doctor. Wish we had many such enlightened doctors

[jeffj]

This is an excellent video with superb information and is the best on YouTube.
A lot of people are asking questions that need to be asked by calling an office that has an interventionalist radiologist.

[dalee.taylor]

Just stumbled upon this video.
Congratulations on a fantastic presentation - CLEAR, CONCISE & WELL ARTICULATED by both the presenter & supporting slides. Thank you👍

[michaelgreene]

Thank you for this very clear presentation!

[edwardsierra]

Amazing, the advances of medical science and PAE is one of them. A procedure much easier for the patient than other options. I had mine done on Oct 20th. BUT, as Paul Harvey used to say “and here’s the rest of the story”. I’ll start with PAIN – for a day and one half after the procedure you will feel pain. Similar to a metal shaft being shoved from your rectum to your bladder. It hurts but after that time period it starts to diminish. Actually mine took 4 days to go away. FREQUENCY – if you think you had to go pee a lot before the procedure, wait until after. Easily twice or three times as often. BURNING – oh yes, yes, yes. FEELING – along with the frequency goes the constant feeling that you have to deficate but you don’t. Day 7 – pain is less but still there, had to call doctor for additional meds. But given the horrendous recovery of other procedures, DEFINITELY worth doing. THE TRUTH AND NOTHING BUT THE TRUTH. GOD Bless.

[ArabianMalayaliVlog]

what is the cost for this treatment? and where is the location ? thanks

[daver]

Great presentation, clear and precise. Question... Is all blood supply to prostate blocked, if so will this affect ejaculations, especially those who have vasectomy ? Will the amount of semen reduce as prostate minimizes?

[loununya]

I had this procedure twice. Six months of success and then unfortunately the veins find a way to grow back around the blockage. My prostate is virtually the same size now as it was before the operations. I hope others have greater success.

[JN-gibf]

Question: Dr. what happens to the injected beads? Do they dissolve over time? Would you recommend this procedure over TURP, if you needed the procedure? Are there any long term known side effects? My prostate is 153cc. My wife, my daughter and I have all have had in hospital surgical procedures done at UCLA and we have all been extremely happy with both doctors and hospital. I appreciate you video and your kind response to my questions above.

[juliens]

very good topic
But have you any study about the results after longtemps of procedure

[davidmartin]

Thank you for the great presentation. Much better than from my own physician.

[Al-ImprovEd]

I’ve had it done and there have been no big benefits . I realize it works for most people though. My urologist who recommended it, is very surprised at my lack of results. Life goes on.