Inclusion Criteria:  Clinical diagnosis of BPH Disease  Exclusion Criteria:  Patients with previous urological surgery History of urological malignancy Systemic disease (diabetes mellitus, multiple sclerosis, etc.) Trauma that may cause LUTS Pharmacotherapy for LUTS Use diuretic antihypertensive PSA > 4 ng/dl History of pelvic radiotherapy Visual problems that could not complete the VPSS test were not included.