Inclusion Criteria:  a) Patient has diagnosis of LUTS due to BPH b) Patient is mentally capable and willing to sign a study-specific informed consent form c) Patient is able and willing to follow study instructions and likely to attend and complete all required study visits  Exclusion Criteria:  a) Patient is unable to stop anticoagulants, antiplatelet agents, or non-steroidal anti- inflammatory agents (NSAIDs, including aspirin greater or equal to 100mg) prior to treatment per standard of care b) Contraindications for general and spinal anesthesia c) Patient is unwilling to accept a blood transfusion if required