If you’ve been diagnosed with benign prostatic hyperplasia (BPH), you are likely weighing your treatment options. Two of the most commonly compared procedures are Transurethral Resection of the Prostate (TURP) and Prostate Artery Embolization (PAE). Both of these procedures aim to help relieve urination discomfort caused by an enlarged prostate, but they differ significantly in how they work, recovery time, and potential side effects.
PAE is changing the game by offering men a quicker recovery, fewer complications, and no need for general anesthesia or hospital stays. Below, we’ll explore the differences between TURP and PAE and help you determine which treatment may be right for you.
What is BPH?
BPH is a noncancerous enlargement of the prostate gland that commonly affects men over the age of 50. It can cause interrupted sleep with frequent trips to the bathroom, a weak stream, and sudden urgency to urinate. Treating BPH can improve your quality of life and help prevent more long-term bladder damage, such as overactive bladder (OAB), kidney damage, and urinary tract infections (UTIs).
Overview of TURP (Transurethral Resection of the Prostate)
TURP involves the surgical removal of prostate tissue through the urethra. This is typically done under general or spinal anesthesia and requires a hospital stay of 1-3 days with a longer recovery period. While TURP has a high success rate in symptom relief, it can come with notable risks, including bleeding, infections, and a higher chance of urinary incontinence or sexual side effects such as retrograde ejaculation.
Overview of PAE (Prostate Artery Embolization)
PAE is a minimally invasive procedure that is performed by an interventional radiologist. It works by blocking blood flow to specific regions of the prostate, causing the glands to shrink naturally over a period of time. This procedure is done by a small incision in the wrist or groin, requires no general anesthesia, and patients typically go home the same day.
Head-to-Head Comparison of TURP and PAE
| Feature | TURP | PAE |
| Invasiveness | Surgical | Minimally invasive |
| Hospital Stay | 1-3 days | None (Outpatient setting) |
| Recovery Time | Weeks | Days |
| Risk of Sexual Side Effects | Higher | Very Low |
| Repeat Procedures | Possible | Possible, but less common |
Who is a Good Candidate for PAE?
PAE is a great option for men looking to avoid surgery, preserve sexual function, or return to normal life. Men who value minimal disruption and fewer side effects often find PAE to be the best choice for them.
Why Are More Men Choosing PAE?
Men are choosing PAE as it is minimally invasive, has a lower risk of complications, and has a faster recovery. As more men learn about the benefits, it’s quickly becoming the preferred option for treating benign prostatic hyperplasia (BPH).
Choosing the Right Path for You
Every patient is different, and the best treatment should align with your health, lifestyle, and goals. While TURP remains an effective option, PAE offers a compelling, more modern alternative that men are now choosing as their first option.
Take the Next Step
Think PAE might be right for you? Schedule a consultation today with our specialists at North Star Prostate Center. Take our Quiz to find out if you’re the right candidate for PAE. Hear from some of our patients’ stories and the treatment overview on our website.