In 2016 European Urology Association guidelines, TUIP is recommended (level of evidence: 1a & grade of recommendation: A) as the surgical therapy of choice for men with prostate sizes < 30 mL, without a middle lobe, and bothersome moderate-to-severe LUTS secondary to BPO. The drawback of classical bilateral bladder neck incision is the postoperative retrograde ejaculation that may occur in 27-100% of patients having the procedure.