BHP 43 years old

Hello. I would like some advice!

O have Bernal developing UTI problems in the last years, so I visited a urologist. I took some test: PSA 0,8 an urofloxometry with a score of 3 ml/min average an 4 ml/min max, and an echographs. At last a cystoscopy that showed that my urethra was perfect but there was an obstruction in the bladder neck: two lobules that seemed to bee from prostate enlargement. My prostate showed to be normal in the echo (about 20 ml) but someway, it’s pressing the bladder giving me UTI symptoms. The lobules are 2,5 cm more or less.

I have been on Tamsulosin for 3 weeks and I feel a little improvement, but if I think in taking medication for the rest of my life, I get depressed.

No side effects from Tamsulosin, just the infamous RE.

So I’m thinking in going ahead with TURP. In the country I live, the only options is standard TURP, but as I am young and the prostate is small, maybe the results will be good.

So guys, what would yo do, being just 43, with a small prostate pressing the bladder (diagnostic BHP)? Taking Tamsulosin for years, with RE and maybe more symptoms in the future, or just going ahead with the surgery? (TURP).

I know TURP gives RE too, but I am already suffering RE from Tamsulosin, so it wouldn’t be a big deal. ED possibility concerns me a bit more, but with my small prostate the surgery maybe would be easier. I’ll try to ask the uro for TUIP but I think they don’t do it here.

Thanks a lot for reading me and excuses for my poor English!

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