Had HoLep at the end of September 2024. 69 years old, symptoms of BPH with 55 cc prostate large median lobe. Surgery went well no pain and catheter out by 7am the next morning. No problems urinating strong stream no pain went home at 1pm. Over the next few days some blood and stinging when urinating but it cleared up fast. No incontinence at all. At about 2 months out I noticed that I had to use the bathroom more frequently and urine stream got much weaker. At the 3 month check up the uroflow exam showed a problem and ultrasound sound showed over 300 ml urine retention. Last week an in office cystoscopy showed a bladder neck contraction. Now scheduled for another surgery to resect the contracture on March 7th. The possibility of this type of complication was never discussed with me prior to surgery and at this point I don’t know that I would recommend HoLep.