BPH is not something to ignore. I have two friends that ignored the problem and ended up in an emergency room because they couldn’t pee, and ended up with a catheter shoved up their Johnson for TWO MONTHS until a surgeon could get them in for surgery.
There are multiple treatment options for BPH depending upon how serious the symptoms and how the blockage is occurring. TURP is historically the most common treatment but HoLep laser is a new treatment that is getting very positive reviews for multiple reasons.
A good urologist will stick a camera up your Johnson to see how the blockage is occurring. There is a chance you could do what’s called a partial TURP, which doesn’t cut away as much material as a full TURP. There potentially wouldn’t be retrograde e in that scenario.This could be a good option. Less material. Less risk.
If a full material removal is required and it were me, I would do HoLep first, Aquablation maybe as a second choice, TURP third. Aquablation also has a low chance of retro e. I wouldn’t look at Rezum or other procedures because those haven’t gotten very good reviews.
HoLep, TURP, and Aquablation have very low odds of incontinence or ed.