@stevedc1 I was completely asymptomatic until I couldn't pee at all. Prostate was 120 grams. I spent 4 months on a catheter in the summer of 2024. Tamolosin and Finesteride both cratered my blood pressure and caused a severe case of flushing. Happy to say I had Aquablation last September. Bleeding took about 10 days to completely recede. From the first moment I was peeing like a racehorse and continue to do so. No sexual side effects. I had a great surgeon, and the surgeon does matter. I'm 66 and in good shape. If my prostate should regrow and cause problems down the road, I wouldn't hesitate to have another aquablation.