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Introduction: Thulium laser enucleation was introduced in 2010. In contrast to other transurethral techniques, it is characterized by mechanical dissection of the adenoma with low energy use. Objective: To compares various existing thulium laser enucleation techniques, including a new technique, in terms of efficacy, safety, efficiency, and short-term outcomes for treating benign prostatic hyperplasia. Method: A comparative study was conducted involving 48 patients, aged 51 to 91, with obstructive benign prostatic hyperplasia. A total of 48 surgeries were performed, comparing traditional techniques (trilobar, Mushroom, Tangerina), photovaporization and a new three-point technique between May 2018 and June 2019. Results: Different thulium laser enucleation techniques showed varying rates of post-surgical complications. The trilobar technique exhibited the highest complication rate (33%). Statistical analysis did not reveal significant differences in bleeding between the trilobar and three-point techniques, indicating similarities in this aspect. Conclusions: The selection of a transurethral approach for benign prostatic hyperplasia will depend on the patient's comorbidity, the surgeon's experience, and the availability of enucleation instruments. A modification of the enucleation technique is proposed, based on anatomical knowledge and variations in energy type. [ABSTRACT FROM AUTHOR]