Surgical treatment is recommended in patients that have:

• Moderate to severe symptoms (IPSS > 25) and a poor quality of life that cannot be controlled with pharmacological treatment.
• Episodes of acute urinary retention despite drug treatment.
• Multiple episodes of urinary infections associated with severe symptoms.
• Blood in the urine despite treatment with 5-alpha-reductase inhibitors.
• The presence of stones in the bladder.
• Renal impairment due to urinary obstruction.