I had HOLEP 3 years ago, very happy with the results. My prostate wasn’t causing high PSA scores, it was growing up into my b,adder which if left unchecked, could have caused urine to back up into my kidneys causing additional problems. I had a little incontinence right after the procedure, but it cleared up after about 5 weeks. I don’t have any problems with it today. I do take care to try and make sure all urine is vacated from the penis before walking away from the bathroom. And yes, I still get up 1-2 times a night to urinate. In light of what could have been the result had I chosen a different procedure, I don’t mind getting up to satisfy the urge.