Assuming that I do not have cancer outside of my prostate, and already having a severely enlarged prostate (82cc):

If the decision were entirely up to me, I would have a radical RALP tomorrow, and have them install a suprapubic catheter during the operation or as soon after as possible, because that would solve three problems for me:

1.) No more worries about prostate cancer,

2.) No more worries about urinary retention, including from a kidney stone getting stuck in my narrowed urethral stricture.

3.) No more worries about even larger diameter objects being pushed up my urethra to treat my enlarged prostate or cancer in the prostate. For example, the thing they push up there to do green light laser treatments looks huge in diameter... At least to me it does.