 The exclusion criteria are the following: 1 patients who previously underwent or anticipated to receive minimal invasive therapies e.g., transurethral microwave heat treatments and stent insertion or surgical intervention of any kind e.g., transurethral resection of the prostate, transurethral laser vaporization, and coagulation within six months;2 suffer from a psychiatric illness; 3 have prostate cancer history; 4 have chronic renal failure; 5 inability to understand instructions or give consent; and 6 suffering from aural injuries or infections. 