@mandarin007
I just had a highly successful Holep on 19 June. Totally painless and uneventful recovery in my 6th week. But I would NOT recommend Holep for a 42YO because men at this age would still be likely be fathering children. Holep is best for those who are past fathering children because male fertility is 99% compromised. There is a modified Holep called “Part Holep” where the bladder neck tissue is left intact, to reduce the occurrence of retrograde ejaculation.

For a young man your age, I would recommend in this order:

1. P.A.E. (Prostate Artery Embolization - no prostate tissue removed, no risk of fertility loss from retrograde ejaculation

2. Aquablattion

Discuss with your urologist these 2 procedures. There is another new procedure (OPTILUME BPH) I came across today that is guaranteed NOT to compromise male fertility.: https://www.gaurology.com/optilume-bph/