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

Рет қаралды 60,033

Күн бұрын

Find a doctor with experience in PAE near you here: www.medifind.com/procedures/p...
If you're living with BPH and looking into different treatment options, let an expert answer your most pressing questions. Interventional radiologist Dr. Sandeep Bagla, President of Prostate Centers USA, explains everything you ever wanted to know about Prostate Artery Embolization (PAE) as a treatment option for BPH.
Want to know more about Dr. Bagla? Learn more about his background, training, credentials, and research, here: www.medifind.com/doctors/sand...
And find top doctors, the latest research, clinical trials, and treatments for BPH here:
www.medifind.com/conditions/e...
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Want a deep dive into another treatment option for BPH? Hear Dr. Inderjit Singh explain prostate aquablation: • Aquablation for Enlarg...
Looking for an overview of BPH (benign prostatic hyperplasia, also known as enlarged prostate)?
Hear interventional radiologist Dr. Bagla explain: • Enlarged Prostate? Exp...
Hear urologist Dr. Singh explain: • Enlarged Prostate? Exp...
Interested in another topic related to BPH? Let us know in the comments!
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DISCLAIMER: Information from MediFind is not intended as medical advice. Please do not post comments or questions asking for medical advice, as they will not be answered. Instead, see your doctor or find a urologist near you here: www.medifind.com/specialty/ur...
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0:00 - What is PAE (prostate artery embolization)? How does PAE work?
2:29 - Is PAE covered by insurance? Is PAE FDA-approved?
2:53 - Where is this procedure performed? Where to get prostate arterial embolization?
3:40 - How long does the PAE procedure take?
4:00 - What are the side effects of prostate artery embolization?
5:30 - What happens to the prostate after PAE?
6:08 - What to expect with prostate artery embolization
7:16 - What is the recovery time for PAE?
8:51 - How effective is prostate artery embolization?
10:00 - How long does prostate artery embolization last?
11:32 - How does PAE compare to other options like TURP and aquablation?
12:53 - How does PAE compare to Urolift?
14:37 - What are the most common questions patients ask? Does PAE affect your sexual function? 14:55 - Can the beads used in PAE travel around the body?
16:30 - How long does it take for prostate artery embolization to work?
16:49 - Can PAE be used for prostate cancer?
18:27 - What kind of doctor does a prostate artery embolization? Is there specific training a doctor should have for performing PAEs?
19:35 - How should a patient prepare for PAE?
20:35 - What questions should patients ask that they don't?
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#bph #prostate #medicine #menshealth #aquablation #pae
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Пікірлер: 121

@Tridhos Жыл бұрын

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

@tonyhoward844 Жыл бұрын

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 9 ай бұрын

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

@johnlogsdon2522 2 жыл бұрын

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

@johnbrown4568 2 жыл бұрын

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

@JohnMinichiello Жыл бұрын

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 Жыл бұрын

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

@bl6369 Жыл бұрын

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

@AlfredoLopez-gp6en Жыл бұрын

Hi my friend how are u doing?

@DnBarPoet77 5 ай бұрын

Did you have both sides of your prostate treated?

@Lakeslover2 Жыл бұрын

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

@georgebowen3925 Жыл бұрын

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 Жыл бұрын

Thanks for update. How are you doing now?

@georgebowen3925 Жыл бұрын

@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 Жыл бұрын

@@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 Жыл бұрын

@@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 Жыл бұрын

What does it cost?

@trainmaster0217 6 ай бұрын

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.

@ZePereira2000 6 ай бұрын

Thank you for sharing.

@jayscherotter0169 Жыл бұрын

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 Жыл бұрын

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

@ElonMusk4FreeSpeech 4 ай бұрын

Did u survive it???

@timeddy5549 22 күн бұрын

Where in phoenix?

@MCoppolinoMcD 29 күн бұрын

Superb presentation!!! Thank you.

@jefferypotter6310 Ай бұрын

Excellent presentation. Thank you

@jackclubs6919 5 ай бұрын

Finally a honest Dr

@fazilm1 2 жыл бұрын

Excellent 👍

@andrewthomson6851 2 жыл бұрын

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 Жыл бұрын

Address who do PAE in Seattle USA.

@ginoadum85 Жыл бұрын

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

@samuelfrank6483 Жыл бұрын

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?

@bethbrowne4905 2 жыл бұрын

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 2 жыл бұрын

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

@gerryjamesjames2418 Жыл бұрын

Who would you recommend in Jacksonville Florida? Thank you

@bobbender5858 2 жыл бұрын

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

@MediFind 2 жыл бұрын

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 2 жыл бұрын

@@MediFind thank you 🙏!!!!

@kenweiss6720 2 жыл бұрын

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 2 жыл бұрын

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

@joeblow9548 Жыл бұрын

Is this the same procedure as a varicocele embolization

@CS-yg5be Жыл бұрын

Chuck stemple who does the PAE in Oregon or sw Washington

@miltong.wright Ай бұрын

Who would you recommend in the Austin, Tx area?

@DeathSentryCoH 8 ай бұрын

will oxybuterin help with the urgency post-procedure?

@sailwinds69 Жыл бұрын

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 Жыл бұрын

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

@unstoppable-cg1hi Жыл бұрын

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

@nandadulalsaha0927 Жыл бұрын

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.

@tunhlaing9702 Жыл бұрын

I would like to know the cost thanks

@lp2565 Жыл бұрын

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 Жыл бұрын

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

@projectx-22racing85 2 жыл бұрын

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 2 жыл бұрын

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 2 жыл бұрын

Get it done..its a miricle procedure

@gosneygosney Жыл бұрын

Geeen light laser recommendation comparison.

@robin5382 11 ай бұрын

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.

@milt2234 2 жыл бұрын

Who would you recommend in the Dallas area?

@MediFind 2 жыл бұрын

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

@bocapete88 Жыл бұрын

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

@MediFind Жыл бұрын

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!

@bocapete88 Жыл бұрын

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

@MediFind Жыл бұрын

@@bocapete88 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.

@Retiredtraveler1961 7 ай бұрын

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.

@DnBarPoet77 5 ай бұрын

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

@silaslongshot941 Жыл бұрын

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 7 ай бұрын

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.

@sheshakn4721 Жыл бұрын

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 Жыл бұрын

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.

@rajauppalapati7104 Жыл бұрын

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

@DukeofHesse-he7bu Ай бұрын

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.

@JanetSingh-lj1yc Ай бұрын

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

@tunhlaing9702 Жыл бұрын

May I know the cost

@MarkR2367 11 ай бұрын

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 5 ай бұрын

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.

@hairywhodini3429 3 ай бұрын

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

@garycarter2069 2 жыл бұрын

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

@slarcker 2 жыл бұрын

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 2 жыл бұрын

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 Жыл бұрын

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

@AlfredoLopez-gp6en Жыл бұрын

@@andrewthomson6851 thank u how are u doing now?

@andrewthomson6851 Жыл бұрын

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

@zebronebotha2618 20 сағат бұрын

Whats the cost of the procedure

@josephbriggs9790 2 жыл бұрын

What are your thoughts on HoLEP?

@MediFind 2 жыл бұрын

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

@generalaccount576 2 жыл бұрын

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 2 жыл бұрын

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 2 жыл бұрын

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

@chandubodapati700 2 жыл бұрын

@@islandknight6105 hahaha

@johncunningham60 2 жыл бұрын

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

@johncunningham60 2 жыл бұрын

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

@samuelchandrashaker2020 Жыл бұрын

How much does it costs for PAE?

@jeffj318 Жыл бұрын

Medicare and some insurance companies will cover.

@joelb099 8 ай бұрын

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..

@user-pg9hq6wh6n 5 ай бұрын

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

@bjtowns9554 Жыл бұрын

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

@AlfredoLopez-gp6en Жыл бұрын

Eat rt excersise no stress testoserone lvl high etc etc

@daveyvane9431 8 ай бұрын

Yeah, you get to work on that.

@universaldonor3100 2 жыл бұрын

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

@sandeepbagla3481 2 жыл бұрын

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

@universaldonor3100 2 жыл бұрын

@@sandeepbagla3481 thank you for your reply; does having intrusion into the bladder by medium lobe pose a problem for a PAE procedure?

@hawaiiangunner 10 ай бұрын

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

@daveyvane9431 8 ай бұрын

Urologist don’t get money from this

@hawaiiangunner 8 ай бұрын

@@daveyvane9431 that's exactly why I'm upset.

@hawaiiangunner 10 ай бұрын

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

@lowrypierce8054 2 жыл бұрын

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 2 жыл бұрын

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 Жыл бұрын

Incorrect information.

@stevegeorge961 Жыл бұрын

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