PAE vs Transurethral Resection of the Prostate (TURP)

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.

“I recently visited South Florida Vascular Associates with my father, who had his Hemorrhoid Artery Embolization (HAE), and was very impressed with the quality of care and professionalism from start to finish. From the moment we walked in, the staff was welcoming and attentive, creating a calm and reassuring environment.”

– Marisol F.

Read More Testimonials

PAE vs. TURP Procedure Comparison

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

Genesis Mendez, 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

Founder and President, South Florida Vascular Associates Pioneer in Outpatient Endovascular Medicine | Double Board-Certified Interventional Radiologist | National Physician Educator at South Florida Vascular Associates | + postsBio ⮌

Dr. William H. Julien is a double board-certified interventional radiologist and the founder and president of South Florida Vascular Associates. He has more than 30 years of experience and over 40,000 vascular procedures behind him. In 2004, he became the first physician in the U.S. to open an office-based interventional suite. He earned his medical degree at Washington University School of Medicine and completed fellowship training at the Miami Cardiac & Vascular Institute. Dr. Julien co-founded the Outpatient Endovascular & Interventional Society (OEIS) and trains physicians nationally in Prostate Artery Embolization (PAE).

• William Julien, MD

  What to Expect During and After Genicular Artery Embolization
• William Julien, MD

  Early vs. Advanced Peripheral Artery Disease: How Treatment Options Change Over Time
• William Julien, MD

  Hemorrhoid Embolization in Plantation, FL: Advanced Treatment for Bleeding Hemorrhoids
• William Julien, MD

  Does Prostate Artery Embolization Affect Sexual Function?