I had aquablation in September 2024. I was completely asymptomatic until my prostate completely shut me down. I lived on a Foley catheter for 4 months, and had two bacterial infections, while I learned and considered options. I'm in Connecticut and Yale has one of the best Holep surgeons in America. He guaranteed me I'd never need surgery again, and that I'd be shooting backwards. I couldn't get comfortable with the idea of a laser burning out most of my prostate. Connecticut has one surgeon at Middlesex hospital who does aquablation. Make a long story short...I'm still peeing normally and have not lost an sexual function. You will bleed more with aquablation...it's a temporary thing. I was 120 grams...now I'm guessing around 60...still large. I'm 66 and in good shape. I eat lots of broccoli and pumpkin seeds. If I ever run into problems again I wouldn't hesitate to do another aquablation. They keep making the equipment better and the surgeon is now capable of making multiple passes. I hope that helps.