I have similar problem. I tried Tamasulin (flomax), and alfuzosin. I tried to not during any fluids in the evening but this caused a reaction like hay fever/cold., but unbearable Now that I look back it was a bad idea not to stay hydrated. I was waking up to pee all night, I may as well stay hydrated. I went from 1 urologist to another as I thought Urolift may be good. The scoped me again which is quite traumatic, as no anesthetic. I found out I was not a good candidate so I researched Rezum therapy.
The problem here is this clinic does not have the machine to do it. ( outside Thailand). Then a month later I developed a high fever and had extreme difficulty to pee. Called my primary doctor and said may be some Prostatitis and prescribed antibiotics. The next day I could not pee and ended up at ER.
Scans show a small piece of tissue blocking urethra . It may have been nicked or something. Catheter installed and I started super hydration .
I was laid up but for the 1st time I can drink a ton of water and not have to worry where a toilet is.
Now I am thinking these doctors in my area may not be so good. Better and expensive good procedure than a botched free one!
I am considering BNH as I am heading over there soon. It is an expensive procedure at BNH as opposed just about free where I am now(Medicare)
I will still give it a good think before deciding as there may be other doctors closer that I can used insurance. Also hate to be able to move around and travel freely when I visit. Long time visitor and also worked in Bangkok.
Bunrumgrad has most of my medical record and are usually more expensive. No Thai insurance anymore