Ultimately that will depend on the cause of a particular individuals lower urinary tract symptoms. In most men the main cause for urinary symptoms or LUTS is benign prostatic enlargement (BPH). There are several treatment pathways for men with LUTS ranging from surveillance to medication or UroLift or GreenLight laser prostatectomy. The final decision depends on several factors include the age and health of the individual as well as the size and severity of the symptoms. Degree of inconvenience or bother is the main driver for changing a man’s current management pathway.