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.