Inclusion Criteria:  Patients > 18 years of age Patients with bothersome lower urinary tract symptoms who opt for surgical management Prostate size 60g or less  Exclusion Criteria:  Current use of anticoagulation or antiplatelet agent Aspirin 81 use is okay and can be continued through the study Bleeding diathesis AUA symptom score < 9 Current urinary retention Known diagnosis of prostate cancer Known diagnosis of neurogenic bladder