What to do if I have hypertrophy, urine blockage in 83yo dm, late pd, supra-pubic cath vs ureteral stent?

Here are some... I would still recommend a 83-year man to undergo PVP procedure with Greenlight laser if his overall medical condition is reasonable and still able to urinate to a degree despite some residual urine. Suprapubic cystostomy or tube is reserved for men with a fully dysfunctional bladder, i.e., a " complete" bladder atony.