@amishboy51 I found that urologists are not forthcoming - to me most of them just recommend what "they" do instead of looking at each individual holistically and determining the best course of action based on your specific situation. This makes it very difficult to a patient to make a decision. I made some mistakes already as a result. It was a toss up for me between Aquablation and HoLEP - I chose HoLEP and still don't know if I made the right decision. It also depends on your age and level of sexual activity for many trying to decide.