A Boise urologist was excited to try HOLEP on me, though I had previously a TUMT and laser PVP. Every urologist is gung-ho, it's great, minor symptoms, everything will be awesome. I asked the local doctor, "how many have you performed?" He replied, "oh, about 200 so far." I informed him that he was already 10 years behind the leading doctors in the states, and no, I declined to go ahead with a third surgery.

Net-net is that every person is different. I see NO way for a doctor to predict what your outcome will be. The first doctor in Florida neutered me almost, despite him showing me videos of happy men experiencing TUMT...when there were already better procedures available! Stupid me for not researching! It was scare tactics with urine retention that rushed me into the horrible and painful TUMT.

The conservative path is to stay on flomax and self-cath. You get used to it, it's fast and predictable. You will have side effects with surgery. It's just the magnitude. Per the maxim, you can hope for the best, but you better plan for the worst outcome. And that could have a serious impact on your life as it has mine.

Note: this is just one mans experience.

Hi. Sorry you’re in pain and discomfort.
In all the years, I had this pain and discomfort nobody ever performed a cystoscope on me until I got to Idaho and that’s where they discovered. I had a possible chance of preservation due to my specific condition

I had median lobe issues, not the entire prostate, but I was completely blocked like a ball valve. Except one day ( peeing) it went away and never came back.

No, I did not wear a catheter to Idaho. I refused it and just roughed it having to go to the bathroom six times an hour sometimes for a few drops most of the time burning. It was the worst last couple of years of my life.
All I know is that when they finally got a look inside closely, they saw that they did not have to remove everything but they recommend that I did I chose the preserve surgery