@mthomey Loss of sexual function covers lots of issues, perhaps you are referring to retrograde ejaculation? Aquablation is promoted as having the lowest odds of that but it is not zero. Most studies say 10% will have RE but after reading on this forum it seems higher. Many factors enter into this: age, weight, prior RE, meds, etc. With HoLEP RE is assured 99%. Other options have their own risk/benefits. Look at all the pros and cons before deciding. Don't just consider RE. Best wishes with the option you choose.