Bill and @rfherald, I noticed that you both are looking into aquablation. I hadn't heard of it before and wanted to find articles that are not written by the company itself for an objective viewpoint. Looks promising. See these articles:
- Aquablation for Benign Prostatic Hyperplasia in Large Prostates (80-150 cc): 1-Year Results https://www.sciencedirect.com/science/article/pii/S0090429519304194
- Aquablation of the prostate: a review and update https://pubmed.ncbi.nlm.nih.gov/31481145/

At the time of 2019, researchers concluded:
"Aquablation is a safe and effective option for treating LUTS secondary to BPH. Aquablation is a new surgical option that shows very promising short term results, in particular, due to its short resection time regardless of gland size and low rate of sexual side effects. This technology still requires further investigation to confirm durability and efficacy over time."

Here's some additional information in plain language from Mayo Clinic
- Mayo Clinic Q and A: New steam treatment for benign prostatic hyperplasia https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-new-steam-treatment-for-benign-prostatic-hyperplasia/