Long term Prostate Issues

Hello,
I have been suffering from Prostate and Bladder issues for 20 years, it started when I was teenager. I managed the symptoms all these years through multiple Dilations, Antibiotics and Herbal medicines (beta sitosterol based).
I started acupuncture 3 year ago, with the first doctor I found, I got good relief with in few treatments but no improvement after that, I was visiting the doctor 3 times a week for almost a year.
Since then I switched MANY acupuncture doctors with not relief, with every doctor I get relief with in first 2 or 3 sessions but as soon as I tell them I feel better it goes bad again, the cycle repeats (is this common). My symptoms got really bad, frequent urges and very difficult to urinate(I have to strain a LOT ). I understand that the treatment may take a long time but they (all the acupuncture doctors I see) are not letting me keep my head above water.
I went to a urologist recently, antibiotics or scopy did not help. I am young for surgery and afraid of side effect.
I know it can't be treated over forums, I am writing in frustration. Any advice is appreciated. THANK YOU.
Sam.