I had HOLEP performed at the Mayo Clinic in Jacksonville 3 1/2 years ago. A very good choice for me. It’s true, the retro-ejaculation isn’t quite as good as ejaculation…..but certainly better than the alternative. I thank God that I have what I have! It still feels wonderful! I also wanted to point out that 2 1/2 years following the procedure, on occasion….I do have a small ejaculation! Not always, but occasionally! It’s not the end of the world guys…..it’s life!