I actually have a very strong opinion against it.  Granted it is based on
anecdotal evidence but it is my opinion.
Two of my co-workers have had TUMT procedures.  The first one (about 60
years old) seemed to be happy at first but within a few months his symptoms
came back.  The second one (about 54 years old) had a very bad experience
with the TUMT and it isn't over yet.  To make a long story short, his
symptoms got worse after the procedure.  He required a catheter for over two
weeks and then self-catheterization. He told me that the procedure was
extremely painful because they had to put needle probes directly into the
prostate to measure the temperature.  After six weeks he is still somewhat
incontinent (always wet) and never knows if he will be able to urinate when
the urge comes.
A little over a year ago I had  a TURP (I was 57) that went very well.
After two days in the hospital they removed the catheter (no pain) and I
immediately had no problem urinating.   Full recovery took several weeks but
everything went as expected.
Many people on this newsgroup have had very good luck with PVP.
But having said all that, 34 is extremely young for any BPH procedure. I
would get a third and fourth opinion.  I know of one very reputable
urologist who will not do TURPs on anyone younger than 60!
My two cents.
Phil

Hi, I'm a 34-year-old who has been dealing with moderate BPH the past few
years. Tried Flomax and Urotraxal and had bad reactions to them, and after
conssulting with 2 uros have opted to get trans urethral microwave therapy
done in January rather than anything more invasive which I'd like to avoid
since I'm pretty young for all this. Long story short, would like to get
opinions from anyone that may have had it done. Hard to find real experiences
and opinions out there on the Internet on this. I'd like to hear anyone's
experiences if they have them. Thanks!