In younger patients who wanted to preserve ejaculation, Orandi who first describes the TUIP technique modified it by performing superficial incisions limited to the prostatic urethra without extension to the bladder neck. This amendment was subsequently embraced by other authors who performed short and shallow incisions at 5 and 7 o'clock, located exclusively at the level of the prostatic urethra and reaching the fibrous capsule. This provided a significant increase of the maximum urinary flow rate and an important reduction of symptoms, while maintaining normal ejaculation in most patients. By using a neodymium-doped yttrium aluminium garnet (Nd):YAG laser Yang et al., modify the Turner-Warwick technique by the incision starting near the ureteral orifice and carried it downward to about 0.5-1.0 cm proximal to the verumontanum. During the 2-year follow-up, mean International Prostate Symptom Score (I-PSS) decreased and mean Peak urinary flow rate (Q-max) increased significantly. Mean International index of erectile function (IIEF) scores did not change significantly with all patients reported antegrade ejaculation. Successful overall outcome was achieved in 84.6%.