Welcome, Bruce. I know that @bill5letsfixthis was considering Prostatic Artery Embolization. Perhaps he will have some information to share with you. In the meantime, this article may help as you make your decision:

- What is a Prostatic Artery Embolization? What can I expect? https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/prostatic-artery-embolization

And this video with Dr. Chandler Dora, a Mayo Clinic urologist, who shares more about benign prostatic hyperplasia (BPH), otherwise known as enlarged prostate, and the various treatments available.

Hi Bruce,

This is what I found out about PAE. If you have a large median lateral lobe there is a high rate of PAE failure. I don't know how high but that is definitely a consideration. Of course the pre procedure exams are important especially the arteriogram to see the vascular system. I have looked into a number of interventional radiologists and found that there are some around the country that claim to have high success rates, some as high as 98%, but I think the average is much lower at 76-80%. I have not gone any further as I mentioned I am doing quite well with my own combination of botanicals and tamsulosin. Good luck, let us know your progress and what you find out.

Best,
Bill