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HoLEP techniques - lessons learned.

Asaf Shvero¹, Edward Kloniecke, Courtney Capella

¹Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

The Canadian Journal of Urology

|August 28, 2021

Summary

This summary is machine-generated.

Holmium laser enucleation of the prostate (HoLEP) is an effective treatment for benign prostatic hyperplasia (BPH). Advancements have made this procedure more efficient, safer, and easier to learn for managing lower urinary tract symptoms (LUTS).

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

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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

Area of Science:

Urology
Minimally Invasive Surgery
Laser Technology

Background:

Benign prostatic hyperplasia (BPH) causes lower urinary tract symptoms (LUTS).
Holmium laser enucleation of the prostate (HoLEP) is an effective surgical treatment for BPH.
HoLEP offers advantages over traditional procedures like open prostatectomy and transurethral resection of the prostate.

Purpose of the Study:

To present the experience and evolution of Holmium laser enucleation of the prostate (HoLEP) at a teaching university hospital.
To detail the surgical technique and its advancements in managing benign prostatic hyperplasia (BPH).

Main Methods:

Detailed presentation of HoLEP surgical technique and its evolution.
Emphasis on experience in a teaching university hospital setting.

Main Results:

HoLEP is an efficient and durable procedure for BPH.
The procedure is equipment-sensitive with a notable learning curve.
Advances in laser technology, morcellators, and technique have improved efficiency, hemostasis, and safety.

Conclusions:

Holmium laser enucleation of the prostate (HoLEP) has evolved significantly since its introduction in 1998.
Technological and surgical modifications have enhanced HoLEP's effectiveness, efficiency, and ease of performance.
Modified 2-lobe and en-bloc techniques represent advancements over the classic 3-lobe approach for BPH management.