Benign prostatic hyperplasia (BPH) is a major problem that causes lower urinary tract symptoms (LUTS) affecting the health of older men. For older men in their 80’s, nearly 50% have moderate to severe LUTS symptoms, leading to a decrease in their quality of life and the need for medication or surgical treatment. For patients undergoing surgical treatment, the ideal treatment option is one that brings the longest and most consistent results with the least amount of trauma, accompanied by the shortest recovery time and fastest symptom relief. Holmium laser enucleation of the prostate (HoLEP) is one such procedure that has come the closest to achieving this ideal compared to other minimally invasive procedures over the past 16 years of clinical practice. The procedure.