Prostate Artery Embolization: Retreatment Rates & PAE Utility | BackTable Clips

Dr. Michael Barraza talks with Interventional Radiologist Dr. Sam Mouli about whether retreatment rates in the literature depict a false narrative of lower utility of prostate artery embolization in the treatment of BPH.

---

The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets.

Get notified when new episodes drop! Subscribe to the BackTable Podcast on your go-to podcast platform, and follow us on your social media platform of choice for regular vascular and interventional updates.

[tjhsmith]

I had my pae 3 weeks ago. The procedure itself was easy and painless. The first 48 hours afterwards was really rough, though. A lot of pain and very very frequent urination. Symptoms gradually improved over the first week. By day ten, I was no longer experiencing any discomfort at all. I have since had a huge improvement in all of my bph symptoms. Totally satisfied so far.

[silaslongshot]

So, this procedure kills off tissue inside the prostate causing it to shrink a little? Have had the UroLift thing done twice and it failed twice as the prostate just swelled up around and past the pins. How will this complicate this procedure with 10 or 12 pins dangling around after the prostate tissue dies off?

[jspinosa]

PAE worked for me in 7 days I had full-force urination. I am amazed,

[edbalboni]

I would pick yearly PAE retreatment over Turp or the like.

[DukeofHesse-hebu]

I had a PAE a little more than a month ago. The following night I had serious pain in my rectum that I finally eased with opioids, and ibuprofen. I then over the next few days got a burning sensation in my scrotum which continues off and on. I have had zero change in urinating. A follow up call with my doc resulted in him finally admitting that "the right side caused him some problems". He also admitted that it was likely that the microspheres didn't hit their intended target on that side. I am scheduled to have the procedure redone in about a month.,

[pdp]

Extremely happy PAE'er from three years ago w/ Aaron Fischman at Mt. Sinai. Amazingly enough, LUTS may still be improving even now... #;")

[stevesvideoentertainer]

80 years old, had Rezum 6 months ago and in my Urologists' words, "It Failed". He gave me referral to UCSD Urology for surgery, TURP, HoLEP, or ? My appointment is in a month, but self catheterizing until then.

Question: Can the PAE procedure be done after having the Rezum procedure 6 months ago? Thank you

[dannybryant]

PAE got me off Tamsulosin (Flomax 2 a day) for 2 years. Now back on 1 Tamsulosin a day.

If forced to 2 a day will reconsider my options.

[alanbrown]

I had a tumour removed form my small intestine 2 months a go and ever since I have very loose bowl movements, I all so have a large prostate which I cant pea sat down as my bowls seem to squeeze my prostate stopping me form weeing but since my operation i have lost control of my bowls so when i stand to wee I mess myself this happens about 2 to 2 times a week mostly getting up 5 to 6 time a night half a sleep and forgetting. I end up getting a shower cleaning up the mess while my family sleep then going down stairs crying my eyes out I've been to see my doc about my Prostate problem but he only says take these meds because the hospital wont see you if you don't I've been on them 2 months already but the same reply's I cant take this any more and feel like taking my own life I haven't been able to make love to my wife for about 5 months I'm at the ned of my tether as I've tried virtually every snake oil product there is and had to leave my job because of me messing myself I feel useless .

[seascape]

Since urologists call TURP the gold standard, what is its retreatment rate after 5 years?

[JoeB-eocp]

Stay away from the IR Dr at Beth Israel Deaconess Hospital in Boston. He is not very good at giving out info and also has no idea which patient is which.

[dictumfactum]

Im getting this feeling that urologists dont think very highly about PAE. Could it be that they arent performed by them? (just kidding of course)