Urolift or Green Light

My uncle had green light done 15 -20 years ago. He is now 86, with no issues since the procedure. I had a Urolift 3 years ago and a Holep 2.5 weeks ago. Urolift complete failure, Holep so far has been life changing. Holep and Green light are laser procedures.

I have had both and neither was a success. I started with a 60cc approx. prostate and a prominent median lobe. The doctor had specialised in doing urolift for a median lobe but in my case after a brief improvement I was completely back where I started, with a poor flow and some pain. Then had Green Light laser, which led to limited improvement but then recurrence of symptoms, and moderate to severe pain after six plus months. A further procedure had established extensive calcification of the prostate, apparently associated with the Greenlight procedure, which would have been responsible for the pain.

My current doctor has stopped doing either procedure because of problems associated with them, and his first choice is HOLEP. I think I may have been unlucky (and started with an inflamed prostate which didn't help), and that Urolift - which is minimally invasive - might be worth a try although my doctor was reluctant to give me a view on the success rate until pushed when he said around 60% (although not clear if this would have been higher without the median lobe).

My advice would be to look into all options as much as possible and don't decide anything until you can get clear information from the doctor on his/her personal success rate and clear explanation of problems and how likely they are.

I had a Urolift and it didn't do any good. Then when I got an Aquablation 3 years later the surgon said the Urolift were put in wrong. They cut 4 of them out during Aquablation (the pins on inside), they can't do anything about the outside pins.

I would have got the HOLEP except don't want the side effects like RE. However, surgeon said HOLEP open you up more and you will never need another one. Think recovery may be longer, check it out??