I chose PAE the first time round because it was non-surgical, no hospital stay, promised mild sedation. Looking back, the results were underwhelming. I had less daytime frequency for about a year, but no improvement overnight.
About 2 years post PAE I was talking to urologists again regarding a more durable surgery. HOLEP seemed to be one of the most durable, since it removes the entire inner of the prostate, but also allows the surgeon to cauterize. I think HOLEP has one of the lowest chances of bleeding, and only an overnight hospital stay, though I now hear some surgeons let you go home same day.
I again had no overnight frequency improvement at first, but am making progress by getting pelvic floor therapy. A PAE doc likely won't support you with pelvic floor PT, but in my opinion a good urologist would and should. The surgery alone is not always enough as I have learned. One also has to develop an attitude to controlling the symptoms, and I am a believer in the PT that teaches you "mind over bladder" pardon the pun!