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Updated: Jun 27, 2026

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).

Published on: March 6, 2018

Extraperitoneal laparoscopic adenomectomy for benign prostatic hyperplasia.

Lin-Yu Zhou¹, Jun Xiao, Hao Chen

¹Department of Urology, Anhui Provincial Hospital, Anhui Medical University, Lujiang Road, Hefei 230001, Anhui province, China.

World Journal of Urology

|December 17, 2008

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Extraperitoneal laparoscopic prostatectomy is a feasible and minimally invasive surgical option for enlarged prostates. This technique demonstrated significant improvements in urinary function and no cases of incontinence in a pilot study.

Area of Science:

Urology
Minimally Invasive Surgery

Background:

Benign prostatic hyperplasia (BPH) affects a significant portion of the aging male population.
Traditional open prostatectomy carries risks of morbidity and prolonged recovery.
Laparoscopic techniques offer potential advantages in reducing surgical trauma.

Purpose of the Study:

To evaluate the feasibility and outcomes of extraperitoneal laparoscopic prostatectomy.
To assess the safety and efficacy of this minimally invasive approach for large prostates.

Main Methods:

A cohort of 45 patients with prostate weight >60g underwent extraperitoneal laparoscopic retropubic prostatectomy.
Standardized laparoscopic steps included workspace creation, pedicle control, and adenomectomy.
Follow-up included International Prostate Symptom Score (IPSS) and maximum urinary flow rate (Qmax) assessment.

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Last Updated: Jun 27, 2026

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate (HoLEP).

Published on: March 6, 2018

Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser

Enucleation of the Prostate for the Treatment of Benign Prostatic Hyperplasia Using a 980 nm Diode Laser

Published on: May 5, 2020

Main Results:

Average resected prostate weight was 78.2g with a mean operative time of 105.4 minutes.
No conversions to open surgery were required; 3 patients needed transfusions.
Significant improvement in IPSS (25.5 to 6.2) and Qmax (6.1 to 18.7 ml/s) was observed.
No urinary incontinence was reported during 6-month follow-up.

Conclusions:

Laparoscopic extraperitoneal adenomectomy (Millin's procedure) is a feasible technique.
It offers a minimally invasive and straightforward approach for managing large prostates.
The procedure yields favorable functional outcomes and a low complication rate.