Sure. First of all, if you search 'holep' on this site, you will get lots of comments, replies, etc, all talking about pros and cons of holep, as well as descriptions and experiences. My own experience was that back in August 2020 I was ill with flu like symptoms, and had a blood test which showed a high number for creatinine. It is supposed to be no higher than 1 or so and mine was 5, meaning I was in acute renal failure. Ended up I was retaining urine in my bladder, and had almost 1000 ml in my bladder. I was in the hospital for 3-4 days while they got my creatinine down to an acceptable level. Not normal, but better. I had a catheter at that point, and had to keep using one after that. I decided to do self-catherization, which I found much better than having a bag and at least I was in control. Actually, for the first time in years I could at least urinate and empty my bladder on a regular basis. At that point I decided to have HoLEP rather than using a catheter for the rest of my life, which is also an option by the way. I was advised that while I may not mind doing this right now by myself, it might not be so good when I got older and needed help. The thing about HoLEP is you want a surgeon who has done a lot of them. Through a friend I found a surgeon in Chicago, Dr. Amy Krambeck, who probably has done more than anyone else in the U.S. I think almost 5,000 at the time. I had that in late September 2020, so was self-catherizing for almost two months. My wife and I drove to Chicago and stayed at a hotel. The morning of the surgery we went to the hospital and I was prepped and put to sleep, and woke up I think without a catheter. I know they put a small tube up your penis and use a laser through that tube to cut up a lot of your prostate--macerate I think they call it--and then use the same tube to draw that material out of you. One issue is whether you have any prostate cancer. If you do, that could be a problem as the process may help spread the cancer which is otherwise contained in your prostate. Anyway, I was in recovery for a few hours, until I could urinate. Back to the hotel for a few nights checking in with the doctor's people to make sure I was not having complications. I really did not have any. And I could urinate without any problem. I was a little sore, but not much. There was a little blood in my urine, and some from my penis, but not really that much. After a few days we drove home. So no overnight in the hospital, although I know some places that is what is done. I have not had to use a catheter since the surgery, and it is now almost two years later. I know incontinence can be an issue, but I have not experienced that. Funny thing, only when I hug my wife (really) do I have a little leakage, but not much. I did have a supply of Depends but did not have to use the much. I have had no problem with erections, but I do take taladifil, generic of Cialis, although I am not sure I really need it. More of a psychological help than anything. But about ejaculation. When you have HoLEP, it cuts off the tube through which your ejaculate get to your penis and goes out. So you do ejaculate, but it does not come out of your body. It is called retrograde ejaculation. You still feel the throbbing and enjoyment but not having it come out of your body and through you penis is a little odd and I probably do miss that but I have gotten used to it and would still have the HoLEP now if I had to chose. You do still get preejaculate, in my case a lot of it, and that does come out of your penis as usual. Not sure of the anatomical difference why it does come out but not ejaculate. Should you have HoLEP? Not sure but it has worked out for me. There are several other options, one of which I considered doing. That is arterial embolization. Here is a link to some info about that: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/prostatic-artery-embolization#:~:text=Prostatic%20artery%20embolization%20(PAE)%20is,benign%20tumor%20found%20in%20men.

I thought about doing this, but at the time I was not confident about it and whether there was a doctor who had enough experience with it. I believe I have heard it is done more commonly now, and might be a good alternative which I assume does not affect ejaculation. Not sure if it is as permanent or complete a solution as HoLEP however.

Whatever you do, I hope for a good result. Take care.