Hello Pablo81! If you have access to YouTube, you can see and listen to answers to your question. I’m not a doctor and can only tell you about my condition before and after having HOLEP. I had BPH for years, was in the VA System for healthcare, and was taking Finasteride and Tamsulosin for 7 years. I had two colon surgeries and bilateral hernia surgeries under my belt, all of which were performed laparoscopically. After the VA looked up into my bladder and saw that my prostate median lobe was growing up into the bladder, they recommended I have my prostate removed. I began the search for a solution…..it can be somewhat overwhelming. I’m 70 years old and to answer your question on side affects from the HOLEP procedure, I will tell you that I am extremely pleased. I had to have the Foley catheter in for the first night following surgery, I didn’t like that at all. It was removed the following morning after surgery. I have no incontenence! I had minor leaking immediately after the procedure, but that was gone in just the few weeks following. My wife and I still enjoy an active sex life! There is a change though…..I no longer ejaculate semen, but I have the orgasm! The sensation is as it always was previous to surgery, just slightly different because I don’t ejaculate. The nerve endings are there, but the pathway for ejaculation has been disrupted. I’m thrilled with this! Being 70 and no longer capable of producing children doesn’t bother me, but being able to experience the same or near the same feelings during intimacy….I am delighted! My flow during urination is now excellent! After years of slow urination, I now urinate like I did when I was 20 years old. It’s amazing. I’m thrilled with the HOLEP procedure performed by a Urologist at the Mayo Clinic is Jacksonville, FL. If I can answer any other question for you, don’t hesitate to ask. I hope you find the procedure that is right for you….and the right Urologist for the procedure!