My father is aged 65 years. He is on catheter for 3 months. Significant amount of post void is observed in reports. Prostrate gland measures 27gms with median lobe indentation. Psa is 1.21 and creatinine is 1.60. He is on silodal d and betheran. The gland has shrieked after using the medicine but if catheter is removed dribbling of urine starts. Is surgery of prostrate gland required or he should use a cic catheter. He is suffering from mild bilateral hydronephrosis. We have done mcu also which shows right sided vesico ureteric reflux. Bladder is grossly distended and circumferential ub wall thickening measuring 6 mm is seen. Kindly suggest the appropriate course of action.