The UAE prostate that wasn't TURP
"A Dubai-based professional, a nine-month bladder-symptom problem, and a keyhole route home."
62-year-old man, UAE resident, senior at a Dubai bank. Nine months of nocturia (waking 4–5 times), poor stream, and 'incomplete emptying.' Uroflowmetry Qmax 8 mL/s. Prostate volume 92 g on MRI. His Dubai urologist had recommended TURP.
PAE — prostate artery embolisation — for a large gland where TURP carries higher retrograde-ejaculation and blood-loss risk. The patient was still sexually active; retrograde ejaculation was a significant concern for him. PAE preserves antegrade ejaculation in the vast majority.
Flew Dubai → Delhi on a Friday evening. Video consult already complete two weeks prior. Admission Saturday morning, PAE Sunday morning, discharge Sunday evening. Flew home Monday, back at his desk Tuesday.
Nocturia dropped from 5 to 1 per night by week 6. Qmax improved to 17 mL/s at 3 months. Prostate volume reduction 32% on repeat MRI. Sexual function preserved. Continued follow-up via WhatsApp with his Dubai urologist copied on the summary letter.
"For selected men — larger prostates, high-priority sexual function, high-priority quick recovery — PAE is not a compromise; it is a better answer. But the right first question is always: who's a good candidate, and who isn't."
A 43-year-old Ontario patient, two rounds of hysterectomy advice, and a keyhole answer.
A Ludhiana truck driver, a black toe, and a below-the-knee angioplasty done inside 48 hours.
A Chandigarh gentleman, an incidental CT finding, and the year we chose not to intervene.
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