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HOW I DO IT
How I Do It: Holmium laser cystolitholapaxy and enucleation of the prostate for benign prostatic hyperplasia
Department of Urology, University of California, Irvine, Orange, California, USA
Address correspondence to Dr. Bruce M. Gao, Department
of Urology, UC Irvine Health, 3800 W Chapman Ave, Suite
7200, Orange, CA 92868 USA
Canadian Journal of Urology 2024, 31(3), 11904-11907.
Abstract
Holmium enucleation of the prostate (HoLEP) is a gold standard, size-independent surgical treatment for benign prostatic hyperplasia (BPH) distinguished for its efficacy in tissue removal, shorter catheterization durations, lower transfusion rates, and decreased hospital stays when compared to transurethral resection of the prostate (TURP). The objective of this article is to demonstrate the step-by-step procedure of holmium laser cystolitholapaxy and enucleation of the prostate for BPH, emphasizing a top-down modified two-lobe technique with early apical release which enhances visualization and irrigation flow during the enucleation process.Keywords
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