BPH Prostate enlargement treatment options after implant

[RelievedofED1]

Since my implant 3+ years ago I have developed significant BPH symptoms. It seems that several of the less invasive treatment options like Rezum or TUMA microwave therapy that have less sexual side effects are contraindicated if you have an implant. (Anyone have those anyway?) I am seeing a urologist that does urolift this week but wondered if anyone on the site has had BPH interventions with an implant already in place and can give me feedback. I am currently on meds for BPH and have side effects and less than perfect results. And know I can get a TURP resection but dont want the ejaculatory and continence side effects that are common with that. Thanks

[WyoMan]

Hello Relievedofed1,
I am suggesting you investigate Prostate Arterial Embolization. (PAE) They may not use it if your prostate is under 80 grams, but it might work for you. My prostate was 100 grams and so not a candidate for TURP. It is not very invasive and a very short recovery. The down side is it can be a couple of months before you see results. If it does not work for you any other procedure is still available.
I do have problems with ED (no natural erections) and few ejaculations. Problems with ejaculating are not listed as side effects of PAE and I don't know if it has anything to do with mine. And so I am looking at implant.
It is done by a Interventional Radiologist, and not urologist.

[Jawalt]

Relieved,
I had BPH problems before and following my implant. I had Urolift clips (6) installed post implant. Easy process and it helped greatly. I still take Flomax and the end result is "adequate". It has been two years since the Urolift. I believe that someday I will have to have another, more invasive, procedure but for now, so far - so good. I think most BPH surgery procedures are still possible after Urolift but the procedures will destroy the clips. I have read on PAE and it is used a lot in Europe. They basically cut off the blood supply and starve the prostate to shrink. Good luck with whatever you choose.

[RelievedofED1]

Thanks for the feedback. None of my docs has mentioned PAE. May be because they don’t do it. My prostate is a little over 50 Gms so maybe why they mention Irolift or suck it up and take the side effects of the meds for minimal relief. I’m skeptical since no one offered injections or implant for ED way past when I should of and I’m already getting bladder changes consistent with obstruction. I’ll ask about PAE Wednesday when I see urolift doc.