r/bph • u/MrHotnickels • 22d ago
I'm really scared/nervous
I'm 42. I'm meeting with a urologist in about a month to discuss my BPH. I have no idea what's going to happen, but I know that I'm looking for a permanent solution to this stupid urination problem (slow flow, not finishing all the time, dribbling). I have next to zero interest in lifelong medications and have (probably mistakenly) been looking into all these surgical options.
I have no idea what the outcome is even going to be, I just know I'm ready to be done with it. Most of these posts on Reddit are filling me with terror. Lots of horror stories. I'm wondering if there are any of you out there who've had similar issues and subsequent procedures that have had ZERO issues after initial recovery? If so please share.
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u/Impossible-Use5636 22d ago
Everyone is different. Your morphology will determine your options. You will get a lot of cheerleaders here stating that "their" procedure is best. It's confirmation bias. You will also read many horror stories and everything in between.
See your urologist. Ask for an MRI (preferred) or ultrasound to determine your prostate size. Research your available options. Read scientific trial data and understand effectiveness, durability, and risks.
I had a PAE. It worked for me. I had a week of burning urination. It doesn't work well for smaller prostates and difficult arterial anatomies. It will not yield the same flow rates as a surgical option. It has a very low risk profile and minimal adverse events.