Benign prostatic hyperplasia (BPH) is a bothersome condition that has high prevalence in elderly men (Lee, Chan, & Lai, 2017). Majority of practicing urologists treat BPH (Census Results-American Urological Association, n.d.) by medical therapy as well as surgical options (Herr, 2006; Nunes, Antunes, & Constantin, 2017). Removal of obstructive part of the enlarged gland in the transition zone remains the basis of surgical management (Foo, 2017; McNeal, 1988). From the earliest reports of open prostatectomy, the procedure has continued to evolve, with endoscopic procedures currently establishing themselves as a benchmark (Hiraoka & Akimoto, 1989; Mandeville & Mourtzinos, 2016; Millin, 1945). Among them, the status of transurethral resection of prostate (TURP) as gold-standard endoscopic procedure is being continuously challenged with anatomical endoscopic enucleation