TURP Alternatives

TURP alternatives question?
72 year old. Been on Tamsulosin and Finasteride for years, later on the Doctor added Myrbetriq which was like the magic pill relating to no more getting up multiple times a night. After a couple of years that gradually quit working at about the same time that I had my annual physical/wellness exam, and my doctor told me I was in excellent health, except my PSA which had been gradually climbing had shot up from 3.6 to 8.1 in one year. He sent me to a local Urologist that did multiple tests, then did a conventional biopsy giving me a (3+4)7 score 18 months ago. He had some other test (genomic???) that indicated it didn’t appear to be real aggressive. He recommended we do Active Surveillance. PSA tests have stayed high. He did decide to do a bone scan 6 months ago which didn’t reveal any likely spread. Last month he had an MRI done. He told me it showed a couple of hot spots (?). Then said I will need to at some point get Radiation or a Prostatectomy because it would likely spread in the next ten years. But, what he wants to do now is a TURP, because he said on my last three visits the Ultrasound showed I was unable to fully empty my bladder, which is why I’m back to getting up 3 times at night again. He said besides the loss of good sleep that I was injuring my bladder and he needed to do a TURP procedure at the local hospital. I asked about alternatives and he said there were some, but he does the TURP, and had one of his Assistants schedule it for next month. I looked to get a 2nd opinion but this being a fairly small town there are not a lot of advanced options.
I am now wondering if I just go to the Arizona Mayo Clinic and have the prostate removed and if that would solve both the bladder flow and prostate problems, without having to go through 2 recoveries? Apologize for the length. Appreciate any thoughts.