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 TURP | BPH Treatment Comparison

Prostatic Artery Embolization (PAE) and Transurethral Resection of the Prostate (TURP) are two leading treatment options for men wanting to address bladder dysfunction caused by an enlarged prostate or benign prostatic hyperplasia (BPH). Understanding the differences between these two procedures can help you make an informed decision tailored to your health, comfort, and long-term quality of life.

What is Prostate Artery Embolization (PAE)?

PAE is a minimally invasive, non-surgical procedure. A small catheter is inserted into the groin area and carefully guided into the blood vessels that supply the prostate with blood flow. Microscopic particles are released to block blood flow to targeted areas of the prostate, causing the enlarged tissue to shrink over time.

What is Transurethral Resection of the Prostate (TURP)?

TURP is considered the standard surgical approach for BPH. During the procedure, a urologist inserts a special instrument called a resectoscope through the urethra and removes excess prostate tissue to relieve the blockage and restore the flow of urine.

“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. TURP Procedure Comparison

Factor	PAE	TURP
Procedure Type	Non-surgical, minimally invasive	Minimally invasive surgery
Performed By	Interventional Radiologist	Urologist
Anesthesia Type	IV sedative or local anesthesia	General anesthesia
Hospital Stay	Outpatient (return home immediately)	1-2 days
Recovery Time	3-5 days	4-6 weeks

Advantages of PAE

Minimal downtime and recovery
Ideal for men with large prostates
Beneficial for men who are not good surgical candidates
Noticeable improvements within a few weeks

Risks and Complications

PAE Potential Risks:

Temporary pelvic pain or painful urination
Infection or bleeding
UTI (urinary tract infection)

TURP Potential Risks:

Erectile dysfunction
Loss of bladder control (urinary incontinence)
Hyponatremia, also called TURP syndrome (low sodium in the blood)
Complications from anesthesia
Rare need for a second surgery

Providers

William Julien, MD

Board-Certified Vascular Interventional Physician

MEET THE PROVIDER

Mana Khatkar, PA-C

Certified Physician Assistant

MEET THE PROVIDER

Anissa Rodriguez, NP-C

Certified Nurse Practitioner

MEET THE PROVIDER

Gina Lowy, PA-C

Certified Physician Assistant

MEET THE PROVIDER

Long-Term Outcomes

PAE and TURP have high success rates
TURP poses greater long-term risks

Choosing the Right Treatment

At South Florida Vascular Associates, our experienced team of interventional radiologists specializes in the most advanced, minimally invasive vascular therapies. We are committed to patient education, individualized care, and state-of-the-art treatment options. If you are living with BPH symptoms and wondering if PAE or TURP is right for you, schedule a consultation today and let our experts guide you toward improved prostate health with confidence and clarity.

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 Transurethral Resection of the Prostate (TURP)

Quick Links

What is Prostate Artery Embolization (PAE)?