I had the old fashioned T.U.R.P. surgery a coupla yrs ago and was not real happy with the results, so my ears perked up at that "gold standard" description. My Urologist never mentioned another option, not sure if HE prefers the old way, never learned the laser way, or never even heard of it.
My impression is that T.U.R.P. excises tissue for Pathology via mechanical means ... sort of a mini-colonoscopy, whereas HoLEP excises tissue for Pathology via laser. Two different methods that arrive at the same place(?)
Why then, might HoLEP be described as the gold standard? I had some minor complaints after my surgery, but my experience post-op sounds way better, and briefer, than what you're expecting. Not trying to debate "
my surgery can beat up
your surgery ... I already trust you more than most MDs ... just trying to learn.
I have insurance and will pm you the details