[Laparoscopic extraperitoneal prostatic adenomectomy: description of the surgical technique]

Historically, the surgical treatment of benign prostatic hyperplasia (BPH)in glands with volumes over 75-80 grams was performed using the conventional surgical approaches described by Terence Millin and Peter Freyer. Due to technological advancement over the past three decades, at present, minimally invasive techniques are being used with good results in the treatment of BPH. The incorporation of the laparoscopic approach to urologic surgery has allowed the technical development of adenomectomy using the same guidelines followed by conventional approaches. The aim of this paper is to describe in detail, step by step, the surgical technique of laparoscopic prostatectomy to treat BPH in glands larger than 60 cc., and to perform a retrospective analysis of preliminary results obtained in the immediate postoperative period of our initial series.