bph management

I recently increased my T dose to around 20mg day, mix of enanthate and some topical gel, about half and half, in the space of about 3 months I notice my BPH symptoms are worse, ie smaller pee volume and more frequent, I have read about Tadalafil and other meds and wondered how much difference...

https://academy.siu-urology.org/siu/2016/eGrandRounds/315094/faculty.presenter28s29.egrand.rounds.update.in.bph.management.-.october.6th.html?f=listing%3D0%2Abrowseby%3D8%2Asortby%3D1%2Asearch%3Dprostate

My urologist is recommending cystoscopy due to ongoing BPH issues. He will only perform this in office with local anesthesia. i am concerned about pain during the exam and would like to hear from others who have undergone cystoscopy with local anesthesia only. Thank you.

Abstract Several therapeutic approaches such as holmium laser enucleation of the prostate (HoLEP) have been introduced to relieve bladder outlet obstruction caused by benign prostatic hyperplasia (BPH). Compared with other techniques including the transurethral resection of the prostate (TURP)...