I spoke to my urologist and asked about PAE. He suggested it was more for larger prostates over 100 mg or those with adverse reactions to anestheology. Asked about Urolift, said I wasn't a good candidate due to the shape of my prostate and that it had a high redo rate. A friend told me his urolift was only about 35% effective. Urologist discussed several other procedures and then said he now performs the HoLEP. I forgot what procedure he performed prior to HoLEP. But it seems to be the gold standard, very low incidence of repeat. But not every urologist is trained in the HoLEP and it's best to go with someone who has performed at least 100 of them. Recovery seems to be quicker but the downside is retrograde ejaculation, no more squirt - it goes backwards into the bladder to be pissed out afterwards. And a bit of incontinence after the procedure, needing Kegels to tighten up the muscles. I had the HoLEP and it works great with no more retention, avg 8-12 oz a squirt, still a little stress squirts in the evenings.
I had a PAE done a few years ago. Unfortunatley, I was one of the unlucky ones where the procedure didn't work. If you are worried about retrograde ejaculation that comes with most other procedures, you way want ot consider a Urolift. I wish I had gone that route. I can't now becuase my prostate is too large.
I know there is always a chance that it won't work. No 100% guarantee. I've read negative things about urolift and decided a while ago not to go that route.
How much was the PAE and does insurance generally cover it (if you know)?
I spoke to my urologist and asked about PAE. He suggested it was more for larger prostates over 100 mg or those with adverse reactions to anestheology. Asked about Urolift, said I wasn't a good candidate due to the shape of my prostate and that it had a high redo rate. A friend told me his urolift was only about 35% effective. Urologist discussed several other procedures and then said he now performs the HoLEP. I forgot what procedure he performed prior to HoLEP. But it seems to be the gold standard, very low incidence of repeat. But not every urologist is trained in the HoLEP and it's best to go with someone who has performed at least 100 of them. Recovery seems to be quicker but the downside is retrograde ejaculation, no more squirt - it goes backwards into the bladder to be pissed out afterwards. And a bit of incontinence after the procedure, needing Kegels to tighten up the muscles. I had the HoLEP and it works great with no more retention, avg 8-12 oz a squirt, still a little stress squirts in the evenings.
I responded earlier to your (Holystonethdeck's) post about PAE and have since seen my urologist about the next step for me. Call it ego, pride, vanity, desperately trying to hold on to youth, whatever, but I want to try to avoid retrograde ejaculation, even at my advanced, septegenarian age. The procedure my doctor is recommending for me is a relatively new approach called Aquablation (see link.) Research on its impact on ejaculation is still somewhat preliminary, but early indications are that it is better at avoiding retograde ejaculation than most approaches. Quoting from a report out of Cleveland Clinic: "According to clinical studies, patients who undergo aquablation therapy have very low rates of incontinence, retrograde ejaculation, and erectile dysfunction, complications associated with other BPH surgical treatments."
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