I had a PAE a few years ago and the results were superb with ZERO side effects. Unfortunately the prostate continued to grow and about 3.5 years later I was back on meds. But the meds now work better than the did prior to the procedure. I'm told too that sometimes the PAE results are permanent and solve the problem for good. Just be sure to get an experienced doctor as you don't want to impact other organs by accident. The procedure was painless and I watched on the monitor the entire time. If the prostate becomes unresponsive to the meds again, I will consider another PAE.