I have huge confidence in the Urology Department at the Mayo Clinic. I had a procedure called HoLEP last year…..you can read about it. Bottom line is that the solution to my problem began with a phone call to the Mayo to ask about an appointment. There may be many options available due to your distance from a Mayo Clinic…..I don’t know….but perhaps things can happen long distance via digital collaboration tools like FaceTime Meetings to help understand where you are today with this health issue. Collect copies of your health records from your local Doctor because the Mayo will need to see them if you get to the point of an appointment. Call them? Tell them what’s going on…..they will guide you. I’m glad you have confidence in your current Doctor….but I will tell you that it’s joy to the ear if a second doctor says the same thing. Something is wrong with your health…..you must keep digging for a solution. You can’t sit back and assume that nothing can be done. Call the Mayo…..tell them what’s going on.