PUL vs TURP in BPH Patients With Urinary Retention

Inclusion Criteria: * Male patients * age \>40 years old * urinary retention who failed trial without catheter Exclusion Criteria: * Inability to provide consent OR no guardians or relatives to help provide consent on patient's behalf * Active urinary tract infection * Previous surgical treatment for benign prostatic hyperplasia (i.e., TURP, prostatic urethral lift, etc.) * Bladder stones * Urethral strictures or bladder neck contractures * Prostate size \>100mL * Solely obstructing median lobe * Urinary retention not due to obstruction (i.e., Bladder outflow obstruction index \<20 on urodynamic studies) * Poor detrusor contractility (maximum detrusor pressure \<20cmH2O during voiding phase) * Anticoagulant or antiplatelet agents that cannot be stopped