@mike5450 , you’re welcome.

I started seeing a urologist after 40, and the only test was the PSA level- which was continually high, and triggered a biopsy procedure and one “atypical” sample.

Then a new urologist, and a previously unknown test- an ultrasound for urine retention, apparently more important than the PSA (and I get it that a UTI can be very painful and potentially dangerous).

In the process of pursuing minimal urine retention, I had two TURPs, the second one only 2 months after the first due to the first not working (where I got RE). In the second procedure, but only after it, I was told by the urologist that he wanted to make sure this second TURP didn’t fail, so he has ablated everything he could, short of a prostatectomy, and I would have ED from then onwards- and with a bunch of complementary viagra in my hand I left. Yep, since then I do need help with ED drugs. But the urine retention didn’t go away. Just the erections. And the orgasms.

Another new urologist, that I like and is much more up to discussing options. With the same goal of minimizing urine retention, some UroLift implants, and when that that didn’t work to minimize urine retention, the aquablation finally did. My biggest issue has been mild urological incontinence. It’s getting much better now.

The orgasms are not what they used to be, and are much more subtle- more like a relaxation of sexual urge. I take whatever I can from all of this. And the important point is to keep smiling- even when there’s nothing to smile about!