For older men, middle-aged and older men can be confused by discomfort in urination. So what exactly is urinary discomfort? We can explain it in three ways. First of all, some men will experience a significant increase in the number of urination, but each time the volume of urination is very small, when there is an urgent need to urinate when it is too late to get to the toilet, there is already a flow of urine to the body, sometimes there will be painful urination, every night to get up to go to the toilet 2 ~ 3 times or even more; secondly, some men will experience poor and slow urination, each time it is very difficult to urinate, it takes a long time to finish urinating, some men urine flow becomes thin, when urinating Some men have a thin urine stream and dribble when urinating, and more serious cases have difficulty urinating and cannot urinate on their own, so they have to go to the hospital; finally, some men will have repeated hematuria, discharging a large amount of bright red urine or even blood clots, and a few men will have back pain and swelling due to these long-term urinary discomforts, and only when they go to the hospital for examination do they learn that they have developed hydronephrosis and reduced kidney function. The actual fact is that a great deal of these urinary discomfort is caused by the prostate gland, which we medically usually call prostate hyperplasia. The actual fact is that you will find a lot of people who are not familiar with the idea of having a prostate enlargement, but sometimes many patients do not come to the hospital until they have very serious urinary discomfort, and the effect of medication is slow or even ineffective, so some patients need to consider prostate surgery. The actual fact is that when you are aware that you have an enlarged prostate, you need to seek medical attention as soon as possible to get the correct and timely treatment plan. Open surgery for prostatic hyperplasia is now rarely applied. The most commonly used suprapubic transvesical prostatectomy has a history of nearly 100 years. Although this procedure can completely remove the enlarged prostate, it is very traumatic for the patient, bleeds a lot during the operation and even requires blood transfusion, and takes a long time to recover after the operation, and because the enlarged tissue is removed blindly, more complications such as urinary incontinence and urethral stricture may occur after the operation. Therefore, most hospitals currently do not perform open surgery for prostatic hyperplasia anymore, but open surgery may be more appropriate for patients who need to be treated together with bladder disease (such as bladder diverticulum, large stones in the bladder), knee ankylosis (unable to place the position required for intravesical surgery) or urethral stricture that cannot be operated via the urethra. Open surgery remains indispensable as an alternate surgical approach. After decades of development, intracorporeal surgery for prostate enlargement has evolved from the initial prostate electrosurgery, to prostate vaporization, plasma electrosurgery to laser prostate surgery in the 21st century. The most popular use of the laser in the prostate in recent years, the most important feature is that the laser has a very good effect on the hemostasis of the prostate tissue, but in practice it was found that because of the working principle and characteristics of the laser itself, the enlarged tissue could not be completely removed from the larger prostate, so it could only be used in the smaller prostate. And some plasma or laser prostate enucleation techniques have problems such as long learning curve for doctors, long operation time, and need for more and more advanced equipment. According to the recent Chinese Urological Disease Guidelines and the American Urology Annual Meeting still consider transurethral resection of the prostate (TURP) to be the gold standard for the treatment of prostatic hyperplasia. In recent years, the development of medical device imaging systems, advances in training methods, and proficiency in operating techniques have led to the rapid development of this classic procedure, TURP. This method is not visible on the patient’s body after the operation, and the operation is less traumatic; the operation time is short, and the operation procedure of cutting and suturing multiple layers of tissues is omitted, saving time; the patient recovers quickly after the operation, and can get out of bed 24 hours after the operation, and can be discharged from the hospital after 2-3 days by removing the catheter; and the electrodesiccation can be repeated, and for those who have recurrence of symptoms after the operation, the electrodesiccation can still be performed again to release the obstruction; in addition, various other causes In addition, other causes of bladder neck obstruction can also be solved by transurethral resection. The procedure can be performed by using a non-electrolyte solution such as glucose or mannitol as the irrigation solution, which is different from the human blood. So what endoluminal surgery is best for patients with prostate enlargement? The latest weapon in the treatment of prostate enlargement has recently been provided by the Energy Boost System from KLS Martin in Germany. The procedure retains the foundation of the TURP procedure, making it virtually effortless for the operator to learn, and only requires mastery of the TURP procedure to use the KLS. The KLS adopts a different energy emitting platform, making the procedure essentially bleed-free, the surgical field always clear, and the speed of cutting tissue faster, resulting in a shorter operative time. The KLS can also be used to treat bladder stones, bladder tumors, etc. The most important feature of the KLS energy platform is that the irrigation solution used during surgery is an electrolyte solution, i.e. saline, which is close to the physiological standard of human blood, thus eliminating the occurrence of intraoperative electrolysis syndrome and making the surgery safer. This makes the surgery safer. In conclusion, the KLS energy boosting system for prostate hyperplasia is a modification of the traditional TURP procedure, which retains the advantages of the TURP procedure and has the advantage of good hemostasis of the prostate tissue by the laser. KLS makes the surgery safer for patients and provides better postoperative outcomes, making it a safe, efficient and thorough new approach to treating prostate enlargement in recent years.