I thought I'd note where I've come down on treatment for BPH, having had several back-to-back episodes of acute urinary retention, having had the benefit of a long visit with SC at Mayo Rochester to discuss treatment options and then having done a lot of web research on my own. My plan, viewed as reasonable by SC, is to do the medical route—2x/day tamsulosin and dutasteride—for 4-6 months, while I continue with 2x/day self-catheterizations; if my nightly bathroom trips fall from 4-5 or more to 2-3, I'll try stopping the self-catheterizations and see if I'm 'done' with treatment (continuing with dutasreride at least). If not, I'll ask SC to schedule Rezum for me.

Everyone's situation is different, but I thought I'd note where I am on my situation.