Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/19/2025

Prostate Artery Embolization Outcomes

Comparison to Other Procedures

  • At 3 months, Aquablation results in less prostate volume reduction (31%) compared to TURP (44%) (p=0.007) 1, 2
  • 5-alpha-reductase inhibitors (5-ARIs) like finasteride and dutasteride typically produce a 15-25% reduction in prostate size at six months, which is less than what is typically achieved with PAE 3, 4, 5

Clinical Guidelines and Recommendations

  • The American Urological Association (AUA) currently does not recommend PAE for the treatment of lower urinary tract symptoms/BPH outside the context of a clinical trial (Expert Opinion) 1, 2
  • The AUA cites concerns about the quality of available evidence, including lack of randomization in many studies, high levels of selection bias, and absence of standard inclusion/exclusion criteria 1, 2