I had an aquablation 3-4 years ago. I’m about ready for another one. But my prostate may be too big for insurance to cover an aquablation.
Too big to fail?.....................
Aquablation is a water jet, while Resum is steam.
https://www.urologytimes.com/view/dr-elterman-discusses-rezum-and-aquablation-for-patients-with-bph
This says Aquablation works for very large prostates, now.
You could also do this specific laser your next time.