Table 1 Inclusion and exclusion criteria

• Men older than 40

• Severe atherosclerosis

• Patient must be a candidate for TURP

• Severe tortuosity in the aortic bifurcation or internal iliac arteries

• Refractory to medical therapy or patient is not willing to consider (further) medical treatment

• Acontractile detrusor

• Patient has a prostate size of at least 25 ml and not more than 80 ml, measured by ultrasound

• Neurogenic lower urinary tract dysfunction

• IPSS ≥8

• Urethral stenosis

• QoL ≥3

• Bladder diverticulum

• Qmax < 12 and/or urinary retention

• Bladder stone with surgical indication

• Written informed consent

• Allergy to intravenous contrast media

• Contraindication for MRI imaging

• Preinterventionally proven adenocarcinoma of the prostate

• Renal failure (GFR < 60 ml/min)