The surgical treatment of benign prostatic hypertrophy is aimed at the elimination of the obstructive adenoma once the pharmacological treatment has not fulfilled its expectations, they do not want to suffer the side effects of the same or there is progress in the disease.. . . It can be reproduced laparoscopically, with less aggressiveness but with greater technical complexity. . . . . . Since 2008 a plasma vaporizer has been available that has a reduced cost with the same results. . . . . .