Happy to comment, Colleen. I have not had a big issue since having HoLEP surgery, but am trying to do kegel exercises to strengthen those muscles. But I wondered about Emit's comment about prostrate surgery not justified. If he is having to use a catheter to urinate, normally that would mean doing so 4-5 times a day to avoid heavy urine retention and so avoid the urine backing up Into his kidneys. For me this meant prostrate surgery of some kind was deemed a medical necessity and so was covered by insurance. Prostrate surgery, including HoLEP, may seem scary, but it a lot better than kidney disease. Emit, I would encourage you to look into that possibility, although I only know about my own experience.