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Updated: Aug 16, 2026

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).
Published on: March 6, 2018
Intravesical holmium laser fragmentation and removal of detached resectoscope sheath tip
Geoffrey Habermacher1, Robert B Nadler
1Section of Endourology, Laparoscopy and Stone Disease, Department of Urology, Northwestern University Medical School, Chicago, Illinois 60611-3008, USA.
Purpose:
We describe a case in which the tip of a resectoscope sheath broke off in the bladder during transurethral resection of the prostate.
Materials And Methods:
A holmium laser was used to fragment a detached ceramic 26Fr resectoscope sheath tip, which was dislodged into the bladder during transurethral resection of the prostate. The fragments were then retrieved using grasping forceps.
Results:
This procedure caused minimal trauma.
Conclusions:
The procedure represents a novel and safe approach to the intravesical fragmentation and subsequent removal of an iatrogenic foreign body from the bladder.
