BackTable / Urology / Podcast / Episode #22
Collaborative Approach to Prostate Artery Embolization (PAE) for BPH
with Dr. Claus Roehrborn and Dr. Sandeep Bagla
Urologist Dr. Claus Roehrborn and Interventional Radiologist Dr. Sandeep Bagla discuss the pros and cons of Prostate Artery Embolization (PAE) compared to other Minimally Invasive Surgical Treatments (MISTS) for Benign Prostate Hyperplasia (BPH). They also discuss the importance of a collaborative, multidisciplinary approach when offering these treatment options, including agreeing on the best treatment for the patient.
BackTable, LLC (Producer). (2021, November 8). Ep. 22 – Collaborative Approach to Prostate Artery Embolization (PAE) for BPH [Audio podcast]. Retrieved from https://www.backtable.com
Dr. Claus Roehrborn
Dr. Claus Roehrborn is a urologist with UT Southwestern in Dallas, Texas.
Dr. Sandeep Bagla
Dr. Sandeep Bagla is a practicing interventional radiologist with the Vascular Institute of Vriginia and the president of Prostate Centers USA.
Dr. Aditya Bagrodia
Dr. Aditya Bagrodia is an associate professor and genitourinary oncology team leader at UC San Diego Health in California.
In this episode, urologist Dr. Claus Roehrborn and interventional radiologist Dr. Sandeep Bagla discuss benign prostatic hyperplasia (BPH) and prostate artery embolization (PAE) in the context of counseling patients and cross-specialty collaboration.
Dr. Roehrborn starts by reviewing the history of BPH treatment, from medications like alpha-blockers and anticholinergics, to minimally invasive options like UroLift, Rezum, and PAE. He emphasizes that the latter options are growing in popularity, since they provide treatment alternatives for patients who are concerned about side effects from medications, or have not experienced symptom relief from medications.
Dr. Sandeep Bagla describes Prostate Cancer USA’s philosophy on IR/Urology partnership and how it can ultimately benefit patients. This model provides the patient with both an IR suite for the PAE procedure and a urology clinic for diagnostic assessment, determination of PAE candidacy, and follow-up assessment.
Both doctors describe ideal patients for PAE. These are usually patients with a gland size above 60 g, confirmed bladder function, and a desire to preserve ejaculation function. Contraindications include urinary retention, chronic prostatitis, and heavily calcified glands.
Finally, they describe how they manage minor short-term complications such as frequency and dysuria with medication. They track symptom relief using the International Prostate Symptom Score (IPSS), Dr. Bagla notes that the largest drop in IPSS usually occurs about 4-5 weeks post-procedure.
Prostate Centers USA- https://www.prostatecentersusa.com/
“The Role of Novel Minimally Invasive Treatments for Lower Urinary Tract Symptoms Associated with Benign Prostatic Hyperplasia”- https://bjui-journals.onlinelibrary.wiley.com/doi/abs/10.1111/bju.15154
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