Consider another opinion by a surgeon skilled in Aquablation or HoLEP - even if you have to travel. Greenlight, Rezum, Urolift, Turp just delay the problem of an enlarging prostate. They are not a permanent solution and can have bad outcomes. You are looking for Durability - meaning you won't have to have another procedure in a couple years and minimal side effects. I discovered that no two Urologists are the same and depends on their training and skill level as to what they recommend. Aquablation has been available since 2015 so no, it is not "new". I had HoLEP in July, extraordinary outcome and hopefully will never need another procedure. Please, get another opinion, watch a few YouTube videos about the above and educate yourself...