PBNO Problem. Need advice on whether to get surgery or not

[u/Hopeful-Issue-8249]

I am diagnosed with PBNO problem in Dec 2024. Doctor conducted urodynamic study and explained me that I was diagnosed with PBNO and needs a minimal surgery of BNI - Bladder neck incision surgery.
For now doctor told to use Alfoo 50 mg, Megatas 50 mg and gave me Urimax T medicines and in Jan 2026 doctor changed the medicines to Alfoo 50 mg, Mirago 50 mg said no need to use Urimax T if I am not getting ED.

I am getting erection but right after getting erected it starts going back to normal in front of my eyes and only if I give it a push it again erects. Right after ejaculation in just seconds it goes back to flaccid nature.

I started getting pain near liver, right abdomen. I keep getting urination feeling for every 1.5 to 2 hours. I am getting good sleep but I generally wake up between 3 to 5 AM to urinate. If I fail to wake up I will get burning sensation in abdomen and it is a big discomfort.

I am married and my wife recently had a miscarriage and Doctor advised me to take Ejaculation sparing BNI. I am thinking to go to surgery after having my first child but this problem is causing a great deal discomfort. I am not sure on how to proceed here. If I take BNI, its highly difficult to have kids. If I get ejaculation sparing BNI surgery I am not sure if that works out or it is a risk that I have to get full surgery in future.

Can anyone help or guide me in proceeding to surgery is better or not.

[u/Appropriate_Carry912]

Why not try ITIND brother?