Just to add some perspective for those having had HOLeP or considering having the procedure in the future. I had my 180 gram prostate removed via HOLeP 18 months ago and it was the best decision I ever made. I worked for over 40 years as a nurse anesthetist providing care for surgical procedures including prostate surgery. The last ten years at a urologic surgery center. For years the treatment for BPH was Transurethral Resection of the Prostate (TURP), the socalled gold standard, something a Spanish Inquisitor would be proud of. Yes there was blood in the urine the first 48 hours after HOLeP, but nothing like what is seen after a TuRP and picture the large catheter and traction for several days as opposed to a single overnight with HOLeP. The clincher is the repeat customers I saw throughout my career for a second TuRP several years later, Ughh!