I'm 64 and had the HoLEP procedure this past July and went from a garden hose trickle to a firehose concerning flow. I highly recommend this procedure. One night in the hospital to monitor bleeding then you go home and almost no pain. I've been doing great ever sense and don't have to take the med's anymore. No issue with ED. I did have to exercise my Kegel muscles to strengthen my pelvic floor which supports the urinary system. I'll be happy to answer any questions y'all have on my experience with this procedure. Like joenfl2017, I sleep through the night and the BPH is gone.