Get a second opinion at a “center for excellence “ - consider after effects and ability to treat for cancer if it shows up later.

TLDR;
This stuff can be confusing but mine was surgically removed due to cancer. But you don’t have cancer, you have lesions. Are they pre-cancerous?

What about the non removal methods to get a smaller prostate?

Have you read about lifestyle changes after surgical removal? This is major surgery. Just the lifting over 10 lbs is 8 weeks.

Do they really cut the urethra? Asking because they absolutely do with surgical removal (robotic, through abdomen thank goodness)

The second opinion - at a center for excellence is gold. My local urologist is stuck in the 1980s and once shouted at me - “robotic!? I have been doing this for 35 years.”

I stood up, said “and that’s the problem” and left. Went to Mayo but there are other centers for excellence.