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 Rezum | Comparing BPH Treatments

Prostatic Artery Embolization (PAE) and Rezum are two innovative treatment options for men seeking relief from urinary incontinence and sexual side effects caused by benign prostatic hyperplasia (BPH). By understanding the differences between these procedures and expected outcomes, patients can identify the best approach for their unique health needs and preferences.

What is Prostatic Artery Embolization (PAE)?

PAE is a minimally invasive outpatient procedure performed by an interventional radiologist. A small catheter is inserted through the groin and navigated to the arteries supplying blood to the prostate using image-guided technology. Through this catheter, microscopic beads are injected to block blood flow to select regions of the prostate, causing the gland to gradually shrink and urinary symptoms to improve.

What is Rezum Water Vapor Therapy?

Rezum therapy is a minimally invasive procedure performed by a urologist. Using a thin scope passed through the urethra, controlled bursts of sterile water vapor are delivered directly into the prostate tissue. The steam causes targeted cells to die and the gland to shrink, relieving blockage and improving urine flow over time.

“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. Rezum: Procedure Comparison

Factor	PAE	Rezum Therapy
Procedure Type	Non-surgical, minimally invasive	Series of minimally invasive treatments
Performed By	Interventional Radiologist	Urologist
Anesthesia Type	IV sedation or local anesthesia	Local anesthesia
Hospital Stay	Outpatient (return home the same day)	Outpatient (return home the same day)
Recovery Time	3-5 days	7-10 days

Advantages of PAE

Proven effective for men with large prostates
Only one treatment is needed for optimal results
Minimal downtime and recovery

Risks and Complications

PAE Potential Risks:

Temporary urinary difficulties or painful urination
Infection and bleeding
Temporary pelvic discomfort

Rezum Potential Risks:

Temporary difficulty urinating
Painful ejaculation
Lower ejaculatory volume or dry ejaculation
Narrowing of the urethra
Bladder stones

Long-Term Outcomes

PAE demonstrates a high success rate for sustained symptom relief, especially in men with larger prostates
Rezum offers a reliable improvement in urinary flow for most men with uncomplicated BPH

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, our team of experienced interventional radiologists will take the time to explain each available option for BPH relief, including PAE and Rezum Therapy. Schedule a consultation at one of our three offices to determine the best course of treatment for your specific needs and treatment preferences.

William Julien, MD

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

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.

PAE vs. Rezum (Water Vapor Therapy)

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What is Prostatic Artery Embolization (PAE)?