If it's your preference, tell your urologist that you want to be aggressively proactive and that you're willing to risk unpleasant side-effects to do so. The patient's wishes form a big part of their decisions. Be polite but direct and firm.

After my stage 4 diagnosis, I told my onco team that I wanted to fight (instead of just getting palliative treatments to keep me comfortable), even though I couldn't even sit up in bed yet after the spinal injury, and they took me at my word.