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PAE vs. TURP: Which Option is Best for You?

Prostate Artery Embolization (PAE) and Transurethral Resection of the Prostate (TURP) are procedures used to treat enlarged prostate glands, also known as Benign Prostatic Hyperplasia (BPH). While both reduce the symptoms of BPH, they are different for men with moderate to severe enlarged prostate symptoms.  

Historically, TURP has been the “gold standard” treatment for BPH for prostates of certain sizes.  As medical advances have been made, new treatments, such as PAE, have been considered.  PAE is minimally invasive and has only a 1% risk of major complications. PAE is, overall, more cost-effective than TURP and other surgical options,  because it is performed as an outpatient procedure, requiring no hospitalization. TURP has limitations on treating certain prostate sizes, a higher risk of side effects, and is not recommended for patients over 65 years of age.

Prostate Artery Embolization

PAE is a minimally invasive, non-surgical procedure that has lower risks and fewer complications, faster recovery time, and requires no hospitalization or general anesthesia. Patients can usually leave approximately two hours after the procedure and recover comfortably at home. Other benefits of PAE include:

  • No hospital stay required
  • Same day procedure
  • Less invasive than surgery
  • Full recovery in 1-2 weeks 
  • No limit on prostate size
  • Fewer risks of complications 
  • Lower costs because of no hospital fees

Transurethral Resection of the Prostate (TURP)

TURP differs from PAE in several different ways. It is a more invasive procedure that is not recommended for prostates over 80 milliliters (ml) in size and presents more of a risk for male patients over the age of 65. Sexual side effects, incontinence, and retrograde ejaculation are more likely to occur with TURP, compared to less than 1% of PAE patients. Other differences include:

  • 1-3 day hospital stay
  • Recovery time is 3-6 weeks
  • Prostate size must be 30 ml to not over 80 ml. 
  • Not recommended for patients over 65 at high risk 
  • Significant postoperative risk of bleeding
  • Sexual function may be lost or impaired
  • Higher costs, due to hospital expenses
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PAE vs. TURP Procedure

TURP is a surgical procedure that takes about 60-90 minutes. A thin metal tube that has a light, camera, and wire attached (called a resectoscope), is inserted through the penis into the urethra until it reaches the prostate gland. An electric current heats the loop of the wire and cuts away pieces of the prostate tissue that is blocking urine flow. Irrigating fluid helps to carry the prostate pieces into your bladder. A catheter is then used to remove the pieces after the operation is over. 

PAE is a minimally invasive treatment that inserts a small catheter (tiny tube) into your artery through your groin. Advanced imaging technology helps guide the catheter to the arteries feeding the enlarged prostate gland. Once the catheter is in place, small gelatin particles are injected into the arteries. These small beads slow the blood flow to your prostate gland. As less blood gets to the prostate, it starts to shrink. In most cases, PAE takes between one and two hours, depending on the location and size of the art image-guided embolized.

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PAE vs. TURP Recovery

TURP requires the catheter to remain in place for 24-48 hours after surgery until you can urinate on your own. Generally, TURP surgery requires a hospital stay of 1-3 days, and full recovery takes between 3-4 weeks. Patients may not perform strenuous exercise or lift heavy items for up to 6 weeks. 

However, the recovery time for PAE is much shorter. Patients can usually go home the same day after the procedure. A full recovery generally takes 1-2 weeks, with most patients returning to normal activities after 10 days.

Which Enlarged Prostate Treatment is Right For You?

At American Prostate Centers, we believe that men should be informed of all available treatments for enlarged prostates. If you’re deciding between PAE and TURP surgery, there are a few important factors to consider. While TURP has traditionally been considered the most successful treatment for BPH, several other minimally invasive procedures are becoming more common and effective. These procedures generally cause fewer complications and have a quicker recovery period than TURP.

Prostate Artery Embolization is a safe, effective, and minimally invasive treatment option for enlarged prostates that reduces painful and uncomfortable BPH symptoms. PAE offers several benefits over TURP surgery. It does not cause any sexual side effects and patients experience less pain and fewer complications after the procedure. We recommend Prostate Artery Embolization at American Prostate Centers to improve your symptoms and quality of life.

PAE vs. TURP Frequently Asked Questions

What is the difference between PAE and TURP?

PAE is a minimally invasive procedure that blocks the blood supply to the prostate, while TURP is a surgical method that removes excess prostate tissue. PAE is less invasive, requires no general anesthesia, and has a quicker recovery time, while TURP is more invasive, requiring general anesthesia and a longer recovery time. PAE generally has fewer complications and can be performed on an outpatient basis, whereas TURP may involve a longer hospital stay with the potential for more discomfort.

Which is better PAE or TURP?

Determining which procedure is better for you depends on several factors specific to your circumstances and needs. The best treatment for you depends on the following:

  • Your age and overall health
  • The severity of your BPH symptoms
  • The size and shape of your prostate
  • Medical history and existing conditions
  • Your insurance coverage

However, PAE does have advantages over TURP, including the following:

  • Less invasive
  • No hospital stay required 
  • Faster recovery time
  • Fewer complications and side effects
  • Cost-effective

How much does a TURP cost compared to a PAE?

PAE is often considered less expensive than TURP and a more cost-effective option. According to studies, the average cost of TURP is around $5,338, while the average cost of PAE is $1,678. TURP might also require longer hospital stays, additional procedures, or medications in the long run, which could increase the overall cost. However, the actual cost of these procedures may vary depending on individual circumstances and insurance coverage, so it’s always best to consult your doctor and insurance provider for a personalized estimate.

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Why Choose American Prostate Centers for PAE?

American Prostate Centers proudly offers PAE at our prostate center in Queens, New York. Our board-certified prostate specialists are highly skilled in performing PAE using the most advanced imaging technology. Our affiliated outpatient center is accredited by the Joint Commission and adheres to the utmost standards. We are committed to helping you find relief from BPH and uncomfortable urinary symptoms so you can live a better life.

Our Prostate Specialists

At American Prostate Centers, Dr. David Mobley is our affiliated interventional radiologist in Queens, NY. Dr. Mobley is double board-certified in Diagnostic Radiology and Vascular & Interventional Radiology. He is highly skilled in the diagnosis and treatment of Benign Prostatic Hyperplasia. Dr. Mobley is one of the select interventional radiologists in the nation who can expertly perform Prostate Artery Embolization.

Our Prostate Center in NY

At American Prostate Centers, we currently have one affiliated outpatient center in Queens, NY. We are committed to continually improving patient care with a full range of same-day procedures, including PAE, to get you the treatment you need to live a healthy and active lifestyle. We utilize the latest technology and minimally invasive techniques to deliver the highest quality outcomes for patients suffering from an enlarged prostate.

Queens, NY
28-18 31st Street
Queens, NY 11102
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What Our Patients Are Saying

I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
Jamel Jackson
Jamel Jackson
14:07 27 Feb 24
The absolute BEST Dr!! Detailed, caring & kind! The best medical procedure I’ve ever had from consultation to post procedure, perfect! 10s all around 👏🏽👍🏽👍🏽 many thank yous🙏🏾
Josi W
Josi W
22:04 12 Jan 24
Excellent service and staff i’ll let you feel relaxing and comfortable
kadine campbell
kadine campbell
21:01 23 Oct 23
Really like this doctor, talks in your language, just over all regular nice person.
Linda Thoomey
Linda Thoomey
22:03 21 Jul 23
I’m very satisfied of my visit for the first time, everyone was concerned about me, and Dr David was very patient to listen to my long health stories, after that He gave me good explanation for my problem, that was great 👍
Claude Jean Pierre
Claude Jean Pierre
22:38 18 Jul 23
Follow up to a procedure. Dr Mobley and his staff are great and always helpful
DanLiza Diehl
DanLiza Diehl
21:25 10 Jul 23
David monkey,MD and the grupo are excellent very kind and helpful.i will return to them.the attention.its very satisfied.thank u ..
Luis Sarria
Luis Sarria
12:16 29 Jun 23
I had a good experience with my procedure and Dr. Mobley’s follow-up calls are great. I’ve never had a doctor who has been so concerned about following up after a procedure to see how I’m doing and if there are any post-procedure problems I may have experienced (which there aren’t). I’d highly recommend Dr. Mobley.
Hey Beej
Hey Beej
16:42 23 Jun 23
Dr Mobley was so helpful, informative and made me feel secure in making my future medical plan. Supportive and kind. Highly recommended.
Amanda L Browder
Amanda L Browder
15:57 23 Jun 23
Doctor was very thorough. Explaining what the procedure is all about. Tell me what I could realistically expect. Couldn’t have asked for a better consultation. Highly recommended if you have a prostate issue
John Buric
John Buric
16:26 15 Jun 23
I was very pleased and satisfied on how Dr. David Mobley examined me and explained everything on what I need to know regarding my condition. He’s very professional and knowledgeable in all aspects of his profession. I would highly recommend him to my other friends!
Celine Parcon
Celine Parcon
23:16 07 Jun 23
He puts his patients before himself, returning calls and e-mails quickly. Not only is he kind and considerate, he is an excellent physician. I had to have a procedure that requires me to be awake, and he talked me through it and kept me at ease. If I could give him more stars, I would.
Super friendly, tentative, once in the procedure rm the sx staff made you feel comfortable, easy,+ answered all questions. David mobley, MD answered all my questions, very informative, caring. I felt confident in his care
Thais Bini
Thais Bini
21:22 30 May 23
Great doctor. Everyone is so kind and caring. Great place to go
Joan Jurica
Joan Jurica
14:46 30 May 23
The best in Astoria I recommend Dr mobley and staff 100 percent
21:25 30 Mar 23
Knowledgeable , experienced, great bed side manners
mohamed hamed
mohamed hamed
10:09 30 Mar 23
The doctor was very nice and professional. He explained the tests that I need and why I need them.
Judith AndersonNeal
Judith AndersonNeal
22:12 27 Mar 23
This was the best experience I have had in such a long time and I have had quite a few procedures in the past both in patient and out including the procedure I was currently present for. No other surgeon has been so kind, transparent, and gentle. Not only did he personally come out beforehand to provide me with education on my procedure, but he talked me through every step of the way and made me feel so comfortable and relaxed. Not to mention his amazing staff! Despite being extremely nervous they kept me smiling and laughing throughout the whole process. 10/10 would recommend. Thank you so much guys!!
Riah L.
Riah L.
13:49 22 Mar 23
Excellent bedside manners and the procedure was a breeze.
sen-pei hsia
sen-pei hsia
18:26 20 Mar 23
Los mejores/ the best💖🙏
Ruthy Ochoa
Ruthy Ochoa
04:17 03 Mar 23
I went with my mom who just had a hip surgery. The whole team was very caring, nice and very professional. I did appreciate that the surgeon took the time to explain to me what was wrong with my mom’s arm and what he did to fix it.
mouna khalyat
mouna khalyat
14:37 24 Feb 23
Although I didn’t meet with the doctor, the receptionist, assistant and nurse were great.
Theresa Gaines
Theresa Gaines
13:25 13 Feb 23
Every thing and the process are being done properly ..Terissa you are very Carey ..thank you so much every body are very polite and very professional.. Thank you so much to Dr.Mobley..God blessed you all .🙏🙏🙏👍
Remigio Ruda
Remigio Ruda
03:28 31 Jan 23
Very knowledgeable, personable and professional. I came to Dr. Mobley to correct another surgeons work and I was pleased with the outcome. There is a Hispanic woman that runs things in the O.R.She is great! The whole staff is wonderful and caring.Highly recommend
Lakesha Kingdom
Lakesha Kingdom
15:57 17 Jan 23
I had a wonderful PA take care of me, & the nurses were very sweet. I was happy with my visit
Aurora Anello
Aurora Anello
19:20 10 Jan 23
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Schedule an appointment at your nearest American Prostate affiliated center.