I'm not a medial professional and have no expertise in this matter. I was 70 in June 2024 when I had NS RARP. I was reasonably fit for my age but not excessively so. I also had BPH, but my symptoms were more mild than yours. I can say my urination is actually better now than before surgery; the flow is great and I empty the bladder quickly. I've mentioned a few times to my wife that that's the one thing in my life that got better after the surgery. Part of my decision process was I asked the surgeon if he thought I was a good candidate for surgery and what he thought my odds were for incontinence and ED for my specific case with him as surgeon. The percentages he gave me were better than I expected and he framed his answer as my status 1 year after surgery. I never had any incontinence although it took me several months to gain the confidence to no longer fear accidental urine releases. I have experienced ED although the sexual function is returning slowly and I can now have intercourse with my wife. Also, the pathology of the prostrate identified both cribriform and IDC, but also indicated it was contained to the prostate. So I'm pretty happy with my decision to have surgery and get it out. Also, all other aspects of my life (sleeping, eating, working out, hiking, etc) have returned to fully normal activities. Of course I have no idea if things would have been better if I'd have chosen a different treatment, but at this point I am happy with my decision. Best wishes.

BTW, my prostate was very large and after removal the irritation from pushing on my urethra was gone.