Inclusion Criteria:  Patients suffering from LUTS secondary to infravesical obstruction from BPH with failed medical treatment International Prostate Symptom Score (IPSS) > 13 a peak urinary flow rate (Qmax) < 15 ml/sec a prostate size ≥ 80 gm  Exclusion Criteria:  presence of a urethral stricture neurological disorder bladder cancer prostate cancer previous history of bladder neck surgery or TURP