@anthony11021 I have had a TURP, a PAE, and just a month ago had an aquablation. So far, I am more pleased with the aquablation than the others. The TURP I had done 10 years ago, and it wasn't that bad, but the healing took a while. I was peeing out scabs for a week and wondered if any one of those could cause blockage. The PAE was done a little less than 2 years ago. I read a lot about it and it seemed to be the least invasive and could/should work. Well, I got very minimal relief, if any, from it. I may have reduced my tamsulosin from two .4mgs to a single one every day, but still had to take that just to be able to pee 6 or 7 times a night, and dribble at that. This recent aquablation was the best. I had to stay one night in the hospital after the procedure, but the cathater was removed the next day and I went home after I peed a certain amount. I drove myself to the hospital and back home the next day(2 hour drive, no problem) Sure, it burned a little to pee for a few days, and a little blood at the beginning of each pee, but I had not peed like that since I was 18! I wa given some meds to lubricate the inside of my Urethra, and they worked. In about one week no pain at all. I suggest if you are going to go with the PAE, find a urologist who has a lot of experience doing so and demand bilateral. I think some are good with just doing one side, and I do believe mine did just that because he could not find the right pathway on the distal(on me, the left) side. I also used an internal radiologist because I couldn't find a local urologist who did PAEs. Good luck with whatever procedure you choose.