@bruce1sparkle. I agree with you that there is disagreement about almost everything. I believe this condition is different for each of us and we need a multi faceted approach to get relief. My first realization that I had a problem was a urinary retention episode about 6 years ago. Tamsulosin made it the last episode. My prostate size is a little larger than yours at about 150cc that my Doc seems to think the Urolift with extra clips may work. Where he gets that idea I don’t know. Also one or two of the other procedures may not be appropriate either. In one of the videos the urologist mentions PAE may be appropriate for those of us who are hesitant to do any of the other procedures. I thought when the time comes I would do the PAE and if it didn’t work my next choice would be the HoLEP as I think it may have a better track record. As far as the multi faceted approach I am using now is making sure I stay regular as the rectum and prostate are next to each other and one can affect the other. I know a lot of guys with this problem and everyone seems to be different. We think about this everyday and sometimes I can’t do enough research to find the holy grail of relief. I wish my grandfather was still alive (he was a drinker and lived to 90) so I could pick his brain about how his generation handled this. I wish you all the best Bruce in your decisions. Let us know how you do because your information will do a world of good for us. Mayo giving us this forum is the best way for us to find solutions.

Bill