The following video highlights my approach to the management of urinary symptoms related to BPH or benign prostatic enlargement. There are several treatment options now available which have allowed the traditional paradigm of alpha blocker or TURP to be superseded. Ultimately the choice of treatment will depend on patient desire as well as prostate specific characteristics. The holy grail of improving voiding function with minimal hospital stay, no catheterisation, no erectile or ejaculatory dysfunction and being maximally durable is hard to achieve. For most there exists the need for some compromise which will dependent upon a particular patient's wishes. I hope the following video highlights options that men have when deciding upon treatment choices and provides some valuable insight.