During the past decade, increasing numbers of minimally invasive treatments for managing male lower urinary tract symptoms caused by urinary tract obstruction have been positioned. On one hand, transurethral needle ablation and transurethral microwave thermotherapy bridge the gap between medical management and surgery, while on the other hand, outcomes of holmium laser enucleation of the prostate and Greenlight laser equal outcomes following transurethral resection of the prostate (TURP). With the introduction of the bipolar technology, however, TURP has reinforced its position.