Benign prostatic hyperplasia (BPH) is one of the most prevalent clinical complaints in older men and is thought to affect 10% of men in their 50s and approximately 90% of those over the age of 80. Due to its long-term course, BPH can develop various serious complications in results of lower urinary tract symptoms (LUTS) and sexual dysfunction. Despite a lifetime medical therapy being suggested as first-line management for LUTS/BPH, there is still a high discontinuation rate that is attributed to both drug side effects on sexual functions and patients’ high expectations. Over the past three decades research has focused on the development of new surgical strategies to reduce morbidity and complications of conventional surgical procedures, such as transurethral resection of the prostate and open prostatectomy, but in most cases overlooking the impact on the patients ejaculatory function. The Endoscopic enucleation of the prostate (EEP) has been recognized as a viable treatment option for men with lower urinary tract symptoms. The aim of the current study was to review the surgical and anatomical consideration of endoscopic enucleating of the prostate in BPH management.