I had HoLEP surgery in September 2020 by Dr. Amy Krambeck at Northwestern Hospital in Chicago. She has done thousands of them and did some of her training at Mayo and did a fellowship at Indiana University, I believe. I thought she and her team did a great job, and everything was covered by my work related insurance at the time. Now on Medicare with supplemental, but I think still all covered if medical necessity--I could not urinate at all at that point. My prostrate was about 125 ccs, so very big. I think they took about half out. Solved all my problems with little or no problems after the procedure. I do have retrograde ejaculation, but that does not seem to diminish the enjoyment for either myself or my wife (or so she says). Has some advantages also. Not to get too graphic, but I probably miss the extra feeling of the semen coming out of my penis, but still feel the overall pulsing pleasure of the orgasm. And pre-ejaculate still flows and provides lubrication.
By the way, obviously this is not a procedure for someone still planning on having children. I wrote here about what caused my problem at the time, but if you are having urination problems, be very careful about your urine backing up into your kidneys and causing severe damage. That is what happened to me. As a result I am Stage 3 CKD. My urologist at the time did not do bladder scans at my regular office visits to monitor for this danger, which I blame for my problem.