My symptoms were not as yours. The urge to urinate was intense and too constant. My prostate was impacting the ability to urinate as it was constricting/growing into the bladder. The prostate measured 80 grams My PSA numbers were never over 5 and did have an MRI/Sonogram done looking for lesions but showed negative. In short I had an enlarged prostate and tried to work through it with Tamsulosin but at the end of the day this ran its course. First attempt to address was via artery embolization, where crystals are injected into arteries feeding blood to the prostate with the objective being the slowing of blood and hence shrinking or atrophying of the prostate. This procedure did not achieve the needed results - still high urgency to urinate, weak stream, multiple trips to the bathroom, etc. Moved onto next more intrusive step of some sort of surgery - after research chose aquablation vice TURP. The reason for choosing Aq was the low probability of ED or issues with ejaculation. The Aq statistics are quite good for not suffering these drawbacks. Surgery was done on 4 December 2025, no hospital stay and went home with catheter for 5 days. It was an angry period as the catheter was a challenge. Once removed things got better and was told to take 4-6 weeks to recover before starting activities (exercise (run, lift weights, spin), sex). I waited the prescribed time and began to exercise and engage in sex and all functions a go. However, I did experience some blood in the urine in week 7 and after a consultation with the surgeon last week he recommended stopped spin for a while as this is most likely traumatizing the area; but am doing the running, lifting, and sex. Also I have stopped taking the Tamsulosin which my understanding is a muscle relaxer and does not shrink the prostate. Finally the surgeon said I am on track and it can take 6 mos. to a year for all the dust to settle and see where one ends up. Hope this helps.