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Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
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Thulium Laser Enucleation of the Prostate.
Christopher Netsch1, Andreas J Gross1, Benedikt Becker1
1Department of Urology, Asklepios Hospital Barmbek, Hamburg, Germany.
Journal of Endourology
|March 18, 2025
Summary
Anatomical endoscopic enucleation of the prostate (AEEP) offers a size-independent treatment for benign prostatic obstruction (BPO). A modified en-bloc thulium laser enucleation of the prostate (ThuLEP) provides excellent outcomes for prostates of any size.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Laser Technology
Background:
- Benign prostatic obstruction (BPO) causes lower urinary tract symptoms (LUTS).
- Anatomical endoscopic enucleation of the prostate (AEEP) is a size-independent treatment for BPO.
- Thulium fiber laser (TFL) is a key energy source for AEEP, offering reduced morbidity and comparable durability to open prostatectomy.
Purpose of the Study:
- To present a step-by-step surgical approach for AEEP using TFL.
- To describe a modified en-bloc technique for AEEP.
- To demonstrate the efficacy of ThuLEP for BPO treatment.
Main Methods:
- A modified en-bloc technique for AEEP using TFL was performed.
- The procedure was demonstrated by a single surgeon.
- Surgical steps were detailed for educational purposes.
Main Results:
- The modified en-bloc technique yielded outcomes comparable to traditional enucleation methods.
- Thulium laser enucleation of the prostate (ThuLEP) demonstrated excellent patient outcomes.
- The technique is suitable for prostates of all sizes.
Conclusions:
- ThuLEP using a modified en-bloc technique is an effective treatment for LUTS secondary to BPO.
- This approach offers a viable alternative to traditional prostatectomy methods.
- AEEP with TFL can be considered a treatment of choice for BPO regardless of prostate size.
