I have bph. Surgery some more time pl.

I m treated with alfoo approx two years than now I have givan silofastd8 since five month . My prostate size is as below as per usg Dt. 15.06.2018 - 49*35*46 mm - 42 cc Generalized prostatic enlargement with indentation of base bladder by median lobe with median lobe projecting into base bladder. Dt.27.02.2020 Prostate shows moderate enlargement and shows an enlarged median lobe  projecting in urinary bladder it measures 5.25*5.16.5.16 cm its weight being 73 grams Dt. 30.10.2020 Prostate is enlarged in size in shows 28*26mm median lobe projection. Prostate measures 48*48*45 mm volum 55 cc Dt.18.05.2021 Moderately enlarged esp. median lobe. Size of prostate 5.03*4.14*3.94 cm volume 42.9 cc My great I Fatty liver changes Thick trabeculated bladder wall Moderately enlarged Prostate esp. median lobe My age is 51 year can I treat without surgery some more time pl.