Patient Stories

Overcoming Benign Prostatic Hyperplasia - John Strucke's Journey

Dec. 9, 2024

As men reach their 60s and 70s, many face the unwelcome reality of an enlarged prostate. For most, the first sign of trouble is difficulty with urination, which can be both frustrating and, at times, frightening. This was certainly true for John Strucke.

 


Recognizing the Symptoms of an Enlarged Prostate

John's bothersome symptoms started like many others: steadily increasing difficulty urinating, eventually reaching the point where it felt as though his bladder might burst. The situation worsened, and he had to go to the emergency department, where 600 milliliters of urine were removed from his bladder. He was referred to a urologist, who told him what he’d worried about for years: “It happens to all men your age.” At 70 years old, John was taught how to self-catheterize while surgery was being explored. It was one of the most uncomfortable experiences he'd ever had, complicated by worry over the surgical procedure. 

For millions of men, an enlarged prostate, also known as benign prostatic hyperplasia (BPH), can significantly affect quality of life. Common symptoms include frequent urination, a weak stream, and the sensation of incomplete bladder emptying. These issues can lead to disruptions in sleep, emotional stress, and even social withdrawal. Recognizing the signs early and seeking medical advice can help prevent more serious complications, such as urinary retention, like John experienced.

 

John explored the surgical options but found most of them a bit daunting. The idea of dealing with pain and potential side effects-like impotence, urinary issues, and incontinence-felt a bit like trading one set of challenges for another. But, John found a hidden advantage: his daughter, a nurse practitioner at UC Health working in interventional radiology. About two weeks after his emergency visit, she urged him to see Dr. Nahab, an interventional radiologist at the hospital where she worked. Reluctantly, John agreed.

Exploring Prostatic Artery Embolization as a Minimally Invasive Solution

The initial consultation went smoothly. The experienced nurse, Christy Carr, explained the procedure, prostatic artery embolization, in which treatment of the prostate is performed through the radial artery in the wrist. She did mention, however, that a few tests were required to determine if he was a candidate. A patient can wait too long, in which case he would need to choose a different procedure. Fortunately for John, the tests showed he was still eligible for the treatment.

When John met Dr. Nahab, he immediately felt a sense of trust. Dr. Nahab was attentive, thorough, and upfront about the entire process. He took the time to explain the procedure in detail—what to expect before, during, and after—and shared stories and experiences of similar patients he had treated that changed their quality of life. Dr. Nahab also explained other surgical options that are offered by urologists, as part of a thorough evaluation. He was clear, patient, and attentive. John appreciated the transparency and the doctor’s professionalism.

When the day of the procedure arrived, John was prepared. Dr. Nahab performed the surgery through a tiny catheter inserted into an artery in John’s wrist, which was then guided to his prostatic artery. There was minimal discomfort throughout the entire procedure. John was awake throughout, laughing and talking with the medical team. There was virtually no pain, and the procedure itself was surprisingly easy, same-day surgery. The only discomfort John experienced afterward was minor pain during urination, which subsided within a couple of days. By the third day, he was feeling much better and amazed to have avoided not only the discomfort but also the typical side effects associated with traditional prostate surgery. 

 

Enjoying the Benefits of Prostatic Artery Embolization Over Traditional Surgery

Looking back, John reflects on the lessons he’s learned:

“"My surgery was a couple of years ago, and I still feel great. I speak with friends every day who have never heard of this procedure. I even carry the brochure with me when I travel. Recently, I explained it to my primary care physician during a check-up. She was so impressed that she copied the brochure to share with patients who might benefit from it. I was thankful that, despite waiting so long out of fear, I met Dr. Nahab while I was still a candidate for this procedure. That’s why I’m speaking out now—I want to encourage men to look into this."”

Early Intervention Matters in Prostate Health

Delayed treatment for BPH can lead to complications, such as urinary tract infections, bladder damage, or the need for more invasive surgeries. Early intervention can expand treatment options and improve long-term outcomes. John’s experience serves as a reminder of the importance of addressing symptoms promptly and exploring all available treatments. Whether through traditional surgery, medication, or minimally invasive options like prostatic artery embolization, taking proactive steps can significantly improve quality of life for men with an enlarged prostate.

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