BPH - are we sure there are no other options?

Sorry if this has been posted before or offends anyone, just wanted to have a constructive discussion about it since I am curious and frustrated.

I have been dealing with BPH and LUTS for a while now and have recently been exploring all the pharma, homeopathic and surgical options available to make the situation better. One topic I read about recently dealt with the idea of prostate massage which seems to help, as described in a paper from Columbia University that I just read. I learned about such a procedure done by a professional and also a way to do it at home.

I'm frustrated with my prostate, not clear why it grows and causes me not to be able to empty my bladder, so I am researching all options. I am in my late 50s and don't want to take meds for the rest of my life, or have to carry a catheter with me or pay $$$ for surgery that seems to work mostly but not permanently.

Does anyone have any theraputic commentary on this approach to managing a growing prostate?

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