I also mentioned the PAE to my urologist and he too, was biased toward it. He said it was "too experimental" and there isn't enough evidence that it works. So he offered HOLEP. Well, that's all well and good, but I told him that I found evidence that, contrary to his claims, had after effects, sexual and incontinence. Now, I have also seen that men have reported a good outcome post procedure with HOLEP, with no issues after the usual experienced during the recovery process. I look for unpaid testimonials. On the other hand, with PAE I have not seen any unpaid testimonials from men who are reporting post procedure issues of concern, sexual, retroejac, incontinence and long term self-catheterizing. I may express that I am willing to wait until the procedure is available; I cannot undo what is done. PAE, has been around for at least five years now, perhaps not specifically for prostate reduction, but for other causes with successful outcomes. Compared to other procedures, this IS the definitive of "least invasive" and doesn't require any general anesthesia Propofol. Conscious sedation Sublimaze (fentanyl) and Versed. There needs to be more discussion about it because if it isn't and I hate to put it this way but, no demand-no market. This is still a business.