My urologist gave me the options for fixing my BPH: surgery or drugs, and he did not thing the drugs were a good option.  My prostate was 50 grams and myurethra was almost completely blocked. Antibiotics were no help in opening up my urethra. So, if I wanted to use drugs like Avodart or Proscar, I would have to wear the catheter for several months until the prostate shrunk enough. Ugh. That was not a good option.

Then there is surgery. I asked about the less invasive laser treatments, such as the green laser. My urologist said those laser treatments would require me to continue wearing the catheter until my prostate shrunk enough from the laser treat. He said that the laser destroyed the inside of the prostate and that the prostate would collapse on itself, making my urethral opening larger. But, that takes time.

My doctor's first choice was TURP - trans-urethral resection of prostate. TURP requires an overnight hospital stay. It also has a 2 to 4 month recovery period.

The other option was HoLAP - Holmium Laser Ablation of the Prostate. My urologist was not too optimistic about HoLAP, considering the size of my prostate. At 50 grams he said I was on the high end of the range for it.