@aero Thank you for your MD insight. There are a few bad apples out there that taint opinion but I agree most are deeply caring providers. On the other hand, they do what they do best with their training. If they don't do X, it probably because they were not trained/experienced with it.
I just had HOLEP in June and doing surprisingly well. Some bladder retraining as its still overactive, no incontinence, great erections and Cowper's fluid but retrograde ejaculations. This will take some getting used to but at my age something that I experience once or twice a month vs 200-300 times is a good trade off for me.
Your erectile pain is a "good" pain. More blood flow, nerves coming back on line. My first orgasm was "painful" but so much better now.
Aquablation is a great choice for some. It has some downsides also so I don't think it will ever replace HOLEP. Most the other options just kick the can down the road. For durability, any size prostate, lack of bleeding, minimal post op pain and the greatest tissue removal with highest PSA reduction, you can not beat HOLEP.
Keep us posted how you progress...