Single Center Comparative Trial of Trans-Perineal Laser Ablation Vs Water Vapor Ablation

The primary aim of this clinical trial is to determine whether one of the two methods under investigation, TPLA or WVA, is superior in the treatment of BPH. Additionally, as a secondary objective, the study seeks to evaluate the potential superiority of one method over the other concerning the sexual parameters of treated participants, assessed using the International Index of Erectile Function 5 (IIEF5) and the Male Sexual Health Questionnaire - Ejaculatory Dysfunction (MSHQ-EJ). The researchers will compare the two methods under investigation (TPLA and WVA) to assess the potential superiority of one over the other. Participants will: * be randomized 1:1 between the two techniques and will undergo treatment at time 0; * undergo follow-up including uroflowmetry and assessment of the International Prostate Symptoms Score (IPSS), IIEF5, and MSHQ-EJ questionnaires at 3, 6, and 12 months.