1. How would you explain the hemorrhoid embolization procedure?

This modern procedure is a minor surgery performed under local anesthesia. Small particles are inserted through a catheter to block the artery that supplies blood to the hemorrhoid. The hemorrhoid then shrinks, and the recovery starts. The recovery is less painful compared to traditional surgery.

2. Will I be in pain if I choose hemorrhoid artery embolization?

No. The entire journey of having a hemorrhoid artery embolization is usually not painful. Patients often experience mild discomfort during the procedure. The minor discomfort the patient may experience can be alleviated with over-the-counter medications.

3. Should I go for hemorrhoid embolization if my case is severe?

Hemorrhoid embolization is usually effective for most patients. But, it may not be the best decision if your hemorrhoids are larger or the case is complicated. In such cases, specialists generally recommend going with a traditional surgery.

4. How do I know if hemorrhoid embolization is risky or not?

Here’s a fact you must know: the hemorrhoid embolization technique is known to be the safest. It is a minor surgery where slight discomfort is only felt during the procedure. The pain in the recovery phase is bearable. It all depends on the hygiene and care the patients take to avoid getting the catheter insertion area infected.

5. Will I have to take a long leave from work after hemorrhoid embolization?

No, not at all. It will only take a day or two to get back on your feet. At most, a patient may take a week’s rest. With the flow of blood reduced, the hemorrhoids begin to shrink. The pain being bearable is not a point of concern when it comes to rejoining an active life.

PAE vs UroLift | Choosing the Right BPH Treatment

Quick Links

What is Prostatic Artery Embolization (PAE)?
What is the UroLift System?
Real Patient Testimonial
PAE vs. UroLift System: Procedure Comparison
Risks and Complications
Long-Term Outcomes
Choosing the Right Treatment

Prostatic Artery Embolization (PAE) and the UroLift System are two cutting-edge solutions for men experiencing urinary issues due to benign prostatic hyperplasia (BPH). Understanding the distinctions between these minimally invasive treatments will help you select the method best suited to your health needs and lifestyle.

What is Prostatic Artery Embolization (PAE)?

PAE is a minimally invasive procedure used to relieve urinary incontinence or difficulty urinating caused by BPH. During the procedure, a tiny catheter is inserted through the groin into the blood vessels supplying the prostate. An emblematic agent of microscopic beads is then released to block blood flow to select areas of the prostate, causing the gland to shrink.

What is the UroLift System?

The UroLift System is a minimally invasive procedure that uses tiny implants to lift and hold the enlarged prostate tissue away from the urethra, leaving the passage open so urine can flow normally. UroLift does not remove or destroy tissue; instead, it gently repositions the tissue that’s blocking urine flow.

“Dr. Julien and his people are the most cohesive, personable and professional I’ve ever come across. From the time I walk in to when I leave I feel like they care about me. The result is good healing.”

– James R.

“Staff is awesome! Extremely knowledgeable & professional. They explained every step to me and spent plenty of time to answer my questions.”

– Anthony P.

“I was referred to Dr. W. Julian by my PCP and very happy that I was. Dr. Julian found a clogged artery that could have been life threatening if left untreated. My experience from consult to discharge was met courtesy, warmth and professionalism which helped me through my procedure. Sean greeted me and my son who explained the whole process and what to expect. I was also looked after by Josh, Jackie and Reuben who could not have been more supportive or communicative through this adventure.”

– Lorette K.

“The whole staff were very professional and very helpful in navigating me through every procedure, treatments and follow ups. I would certainly recommend South Florida Vascular Associates.”

– Don S.

“I have been very impressed by the way this office functions. Each and every person I’ve encountered has been very personable and professional. I’ve had minimal wait times before being seen. The tests I’ve had were done efficiently and results explained to me quickly. I would highly recommend this office.”

– Robert G.

“All of the staff were friendly, courteous, and professional. Examination and consultation were thorough and expedited in a timely manner. I felt relaxed throughout the visit and all my medical questions and concerns were met and answered to my satisfaction. Would recommend this office to anyone seeking vascular care.”

– Felix G.

“I highly recommend this office for any vascular procedure you may need. The staff are awesome. They were very considerate and professional. My procedures were all a success and I am very happy with the end result. Top marks on everything.”

– Todd H.

“I'd like to express my gratitude for taking care of me this past Monday for the venous procedure on my legs. Please extend my gratitude to the staff who took care of me, like Anissa Rodriguez, Josh Rush, Kerx, Maruli, Rosaline, and Daniela. You were all so very professional and kind.”

– Luis M.

PAE vs. UroLift System: Procedure Comparison

Factor	PAE	UroLift System
Procedure Type	Non-surgical, minimally invasive	Minimally invasive, non-surgical
Performed By	Interventional Radiologist	Urologist
Anesthesia Type	IV sedation or local anesthesia	Local anesthesia or IV sedation
Hospital Stay	Outpatient (return home the same day)	Outpatient (return home the same day)
Recovery Time	3-5 days	1-2 days

Risks and Complications

PAE Potential Risks

Temporary pelvic discomfort
Temporary painful urination
Infection or bleeding

UroLift Potential Risks

Not suitable for men with larger prostates
Temporary blood in the urine
Temporary pelvic pain
Rare need for secondary procedure

Long-Term Outcomes

PAE is proven effective for patients with larger prostates
UroLift and PAE have high success rates and low risk of long-term complications

Providers

William Julien, MD

Board-Certified Vascular Interventional Physician

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Mana Khatkar, PA-C

Certified Physician Assistant

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Anissa Rodriguez, NP-C

Certified Nurse Practitioner

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Gina Lowy, PA-C

Certified Physician Assistant

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Choosing the Right Treatment

At South Florida Vascular Associates, we provide patients with access to the best minimally invasive procedures for prostate disorders like BPH. Schedule a consultation today to discuss your options for BPH in detail with our team of interventional radiologists. They can explain both options and help you determine which will provide the safest and most effective outcome.

William Julien, MD

Board-Certified Vascular Interventional Physician at South Florida Vascular Associates | + posts

Dr. Julien has performed more than 40,000 vascular procedures across a 30-year career. Double board-certified in Interventional Radiology and Diagnostic Radiology by the American Board of Radiology, he is the co-founder and past president of the Outpatient Endovascular & Interventional Society, a national faculty speaker at SIR, TCT, VIVA, and the Southeastern Angiographic Society, and a published author. Named a Boca Magazine Top Doctor 2025.