I just read your Rezum post. I'm very sorry. Regrowth was my reason for not having TURP, apart from possibly needing a transfusion. I have no mRNA in my blood and I won't get into the controversy about this, but it is a concern and I'm already looking into medical requests for "auto-donation" pre-op for surgery- I'll receive my own blood. I just don't need any more health issues. Your choice for HoLEP is likely your best one & done with adequate hemostasis because the laser cauterizes as it passes so the need for transfusion is almost nil.
I've been in and out of operating rooms as a laser operator and I confess that I am literally having nightmares about general anesthetics and post-op recovery. Scared to death. I live alone, I'll have to depend on strangers to help me. Maybe I'm braver than I think?