@gemstateid I had HoLep procedure on one of the largest prostrate possible 212ml. 20-40 average. Surgery lasted 3 1/2 hours. You said you will have side effects with any surgery. I hate to disagree with you. I had zero side effects. It's now 1 1/2 years later. Absolutely zero effects. Best decision I made. I went to Mayo Clinic in Rochester, Mn. My Surgeon was Kevin Wymer, he was 35 years old when he did my surgery. He is one of the top surgeons in the country on very large prostrates. I would highly recommend him. I had no pain, no discomfort urinating immediately or any time after surgery. I felt like nothing was done to me. The only difference I notice is that now I pee like a teenager. As matter of fact the Dr. told me I empty my bladder now better than a teenager and I'm 69. Would tell anyone to have it done.