Really disappointing to hear how you’ve not been able to resolve this BPH issue.

Since you have the implant you avoid the worst side effect of having surgery. The surgery itself is pretty easy. I guess in your Case you have no choice, radiation would probably not resolve your issue? Have you spoken to a radiation oncologist about this, I have no idea, but I would think about doing it, maybe if they destroy everything inside your prostate except the sphincter you won’t have problems.

You are left with one sphincter when you get your prostate removed, That’s why some people have incontinence problems After surgery.

I had a Gleason 3+4 after biopsy and 4+3 after surgery. It’s very common to have it change.

At this point, I can understand why you would want to get the surgery. I’m including these videos just because you asked.

Here is a video with Dr. Laurence Klotz, one of the experts on active surveillance. He can give you answers as to why you would or would not be a good candidate for active surveillance.

Here is a video by Dr. Epstein discussing active surveillance and more