@learning123 I had a PAE/Aquablation procedure 4.5 months ago. The procedures are done back to back. It reduces bleeding (I only had catheter 24 hours) and I think allows the regrowth of the prostate. Doctor said it could last me 10-15 holes. In hindsight not sure i would go through the trouble of the PAE part again, but every time I read about guys having catheters for a week and trips to the ER post surgery I rethink it. There's a study out there is you want to just Google "PAE aquablation combination study". Aqua has about a 20% RE result. One thing I can tell you is don't delay, the thickening of one's bladder wall will have significant impact on your results. Aqua gas a pretty great record of results and grows in popularity every day. My results were good, but could have been even better had i had treatment 5 years ago. I don't know much about holep, but doctors tend to recommend the procedure their practice is qualified in our that they're familiar with so get a second opinion, it can't hurt.