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.

Bruce, what options are you considering?

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