Can't decide b/w holep and turp for 51yr old very healthy male. using tamsulosin only, want to avoid finas/dutas altogether.

Holep: In good hands is very good. But i would entertain dutasgeride low dose like once a week to minimize side effects. Its hakf life is measured in weeks.

Check out these: Links. As a rule, you can exhaust the efficacy of one or two meds before you resort to surgery.Holep is preferred over TURP because it's less invasive. Best wishes! http://www.mayoclinic.org/holmium-laser-prostate-surgery/ http://www.Mayoclinic.Com/health/turp/my00633.http://www.mayoclinic.com/health/prostate-gland-enlargement/ds00027/dsecti.