"Best" depends on what you're trying to accomplish.
Holep is very tissue destructive but provides maximum relief of constrained urination.
10 years after the procedure it has a 78% success rate (success=no retreatment needed).
It damages sexual function in 76% of patients.
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Optlume doesn't destroy any tissue.
6 years after the procedure it has a 97% success rate.
Sexual function is impacted in less than 1% of patients.
You can always have your prostate cored out later if Optilume fails. You'll never fully regain sexual function once it's damaged from tissue destruction.
It's worth noting here that your prostate has to be below a certain size or you won't qualify for Optilume, in which case a destructive procedure is the only other option.
