@anthony11021 as a person who has had both PAE and aquablation I will say that the discomfort from the PAE was worse than the aquablation. There's a lot of inflammation of the prostate from the PAE. When I was being discharged the nurse told me "is going to get worse before it gets better" and she was right. My flow got much worse and it was much more painful than I thought it would be. Now I was having a PAE/aquablation combo procedure (it decreases bleeding from the aqua and i only had the catheter 24 hours) so I had the aqua a week later. By that time the aquablation was a huge relief. I never got to see if PAE would have worked for me but it's unlikely since I had a large median lobe and my Urologist assists the PAE only lasts about 5 years anyway whereas the aquablation would last 10-15. I certainly see the attraction of PAE, but it is not pain free nor are the results either long lasting or quick (takes about a month on average to see results).

@anthony11021 I just read the reply about the pain from his (@tredwolf) PAE. I didn't have anything that I would normally talk about. Yes, it stung a fair amount to urinate the first and second day and some for about a week, but not anything I would consider a real issue. In and out in 3 hours, no catheter and walking the dog several hours afterward.