To determine if early apical release holmium enucleation of the prostate (EAR HoLEP), as a surgical treatment for benign prostatic hyperplasia, reduces post-operative urinary incontinence compared to classic HoLEP.

Inclusion Criteria:

• Patients must be 18 years of age or older
• Patients must present to clinic with a diagnosis of benign prostatic hyperplasia
• Patients must be scheduled to undergo a holmium laser enucleation of the prostate

Exclusion Criteria:

• Patients with previous surgical management of BPH
• Patients with prostate biopsy revealing high risk prostate cancer
• Patients with a concomitant neurogenic bladder diagnosis (SCI, Parkinson, MS, cerebral palsy)