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The following video highlights the benefits and techniques of the newest generation 180W Greenlight XPS laser system for the management of male BPH (benign prostatic hyperplasia). Previously, TURP, a procedure in which an electrical loop is used to cut specimens of the prostate (with risks of 4-8% transfusions, electrolyte anomalies, and prolonged hospitalization of 2-3 days) however is limited to smaller prostates less than 100g and men who are not taking any anticoagulation medications. The Greenlight laser has the advantages of little to no bleeding, no electrolyte anomalies since normal saline is used for irrigation, and is performed as an outpatient surgery. The procedure can also be offered to men with large prostates (greater than 100g), men taking blood thinner medications and those with significant comorbidities. The 3rd generation of Greenlight XPS (AMS) offers the greatest strength laser power at 180W and significantly reduces 40-50% operative times. We are proud to offer our patients the surgical management of BPH care.