Khan et al 2015, reported on the feasibility of using low power (LP-HoLEP) for safe and effective HoLEP. The authors cut significantly on the initial cost of laser capital equipment. They used 50-watt holmium laser machine to accomplish the enucleation procedure with reasonable efficacy. Nevertheless, there are no randomized studies assessing safety, efficacy and cost saving associated with LP-HoLEP.