PAE vs. Laser Therapies: Comparing Minimally Invasive BPH Solutions

Prostatic Artery Embolization (PAE) and laser therapies are two leading options for men seeking relief from urinary symptoms caused by an enlarged prostate, or benign prostatic hyperplasia (BPH). It is important to understand each of these approaches to make an informed decision for your healthcare.

What is Prostatic Artery Embolization (PAE)?

PAE is a minimally invasive outpatient procedure performed by an interventional radiologist. Using advanced imaging for guidance, a small catheter is inserted through a puncture in the groin and navigated to the arteries supplying blood to the prostate. Microscopic beads are released to block blood flow to the enlarged parts of the prostate, ultimately causing the gland to shrink.

What are Laser Therapies for BPH?

Laser therapies use high-intensity laser energy to remove or vaporize excess prostate tissue that is obstructing urine flow. Procedures such as the GreenLight laser vaporize excess prostate tissue while Holmium Laser Enucleation (HoLEP) cuts the excess tissue away with a precisely targeted laser beam. Laser therapies are performed through the urethra using a thin scope and a specialized laser device.

“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.

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PAE vs. Laser Therapies: Procedure Comparison

Advantages of PAE

• Non-surgical alternative for men who are not good surgical candidates
• Safe for men with larger prostates
• Little to no pain during the procedure and minimal downtime
• Low rate of complications

Risks and Complications

PAE Potential Risks: 

• Temporary pelvic discomfort
• Temporary difficulty with or painful urination
• Infection or bleeding

Laser Therapy Potential Risks:

• Light bleeding for several weeks
• Urinary retention caused by narrowing of the urethra
• Retrograde ejaculation or lack of semen during orgasm
• Urinary incontinence (loss of bladder control)

Long-Term Outcomes

• PAE has a success rate of about 80%
• Laser therapy has been shown to be less effective for men with larger prostates

Providers

William Julien, MD

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Board-Certified Vascular Interventional Physician

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Mana Khatkar, PA-C

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Certified Physician Assistant

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Anissa Rodriguez, NP-C

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Certified Nurse Practitioner

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Gina Lowy, PA-C

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Certified Physician Assistant

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Choosing the Right Treatment

At South Florida Vascular Associates, our team of skilled interventional radiologists can thoroughly explain your treatment options so you feel confident in your treatment. Schedule a consultation today at one of our three offices to take the next step toward relief from BPH.

William Julien, MD

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

Dr. William Julien, MD, is a nationally recognized, board-certified vascular interventional physician and President of South Florida Vascular Associates, known for advancing minimally invasive, outpatient vascular care. Trained at top institutions and fellowship-trained in interventional radiology, he brings deep expertise to the treatment of complex conditions including abdominal aortic aneurysm, PAD, BPH, uterine fibroids, and venous disease. A former chief and director of interventional radiology for multi-hospital systems, Dr. Julien is actively involved in device trials, national endovascular education, and leadership within major professional societies. He also pioneered one of the nation’s first advanced outpatient endovascular surgery suites, reinforcing his role as an innovator shaping the future of vascular intervention.

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