Every med can work differently and every med has potential side-effects.  A buddy of mine has decided to skip the meds and try prostate artery embolization. It's a minimally invasive procedure in which an Invasive Radiologist injects a solution into the main prostate artery. The solution contains microscopic particles that occlude small arteries and cut off blood supply causing the prostate to shrink over time. His urologist highly recommends this procedure as an alternative to surgery and to a lifetime of medication.