@heavyphil
I am a 66-year-old BPH patient in metro Houston, Texas. I have an elevated PSA number of 7.7 - 7.9, 14.1 % free PSA, 47.1 gram prostate. I received a prognosis/recommendation from my current urologist that differs from the advice I received when I resided in California (having left there in April 2025). I was strongly encouraged in California to undergo a TURP. My Texas urologist, however, feels that as long as my tadalafil medication manages my ease and comfort urinating, and my PSA level is stable, then the status quo is acceptable for the foreseeable future. My concern is the impact on sexual functioning and desire. What has your experience been, if I may ask.