PAE vs TURP: Which Treatment Is Better for BPH?

Benign Prostatic Hyperplasia (BPH), or prostate enlargement, is common in aging men. As the prostate grows, it can press on the urethra and cause symptoms such as frequent urination, weak urine flow, difficulty starting, urgency, and incomplete bladder emptying. When medicines do not provide enough relief, treatments such as Prostatic Artery Embolization (PAE) and Transurethral Resection of the Prostate (TURP) may be considered. What Is BPH? BPH is a non-cancerous enlargement of the prostate. Common symptoms include: Frequent or nighttime urination Weak or interrupted urine stream Difficulty starting urination Urgency and dribbling Incomplete bladder emptying Diagnosis may involve a medical history, physical examination, urine tests, PSA testing when appropriate, ultrasound, prostate-size assessment, and urine-flow evaluation. What Is PAE? Prostatic Artery Embolization (PAE) is a minimally invasive, image-guided treatment performed by an Interventional Radiologist. A thin catheter is guided through an artery to the blood vessels supplying the prostate. Tiny particles are then used to reduce blood flow to the prostate, which can help reduce its size and improve urinary symptoms. Benefits of PAE Minimally invasive No direct removal of prostate tissue Usually performed with local anaesthesia and sedation Generally offers a relatively quick recovery May be suitable for selected patients with larger prostates Can be an alternative for some patients who are not ideal surgical candidates What Is TURP? Transurethral Resection of the Prostate (TURP) is an established surgical treatment for BPH. A specialised instrument is inserted through the urethra to remove prostate tissue that is blocking urine flow. TURP can provide significant improvement in urinary obstruction but may involve catheterisation, hospital observation, and a longer recovery compared with some minimally invasive treatments. PAE vs TURP: Key Differences Feature PAE TURP Treatment type Minimally invasive Endoscopic surgery Tissue removal No Yes Performed by Interventional Radiologist Urologist Anaesthesia Often local + sedation Usually regional/general Recovery Generally quicker Generally longer Catheter May be temporary Usually required temporarily Sexual effects Risk varies Retrograde ejaculation is common Which Treatment Is Better for BPH? There is no single best treatment for every patient. The choice between PAE and TURP depends on prostate size and anatomy, severity of symptoms, urinary obstruction, overall health, previous treatments, and personal treatment goals. TURP may be suitable when direct removal of obstructing prostate tissue is preferred, while PAE may be an option for selected patients looking for a minimally invasive approach. PAE Treatment with Dr. G.P. Venkat Choudary Dr. G.P. Venkat Choudary, Interventional Radiologist, provides evaluation and minimally invasive treatment options for suitable patients with BPH, including Prostatic Artery Embolization (PAE). A detailed evaluation and imaging assessment can help determine whether PAE is appropriate for your prostate condition and treatment goals. Conclusion Both PAE and TURP can help manage bothersome BPH symptoms, but they use different approaches. Your specialist can recommend the most appropriate option based on your individual condition. Looking for PAE treatment for BPH? Book a consultation with Dr. G.P. Venkat Choudary to discuss your symptoms, treatment options, and whether PAE may be suitable for you.