HOW I DO IT

• How I Do It: Teaching holmium laser enucleation of the prostate (HoLEP)

  Pérez-Londoño Agustín, Abello Alejandro, Gershman Boris, Korets Ruslan Division of Urologic Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA

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  Holmium laser enucleation of the prostate (HoLEP) is considered a size-independent technique to treat benign prostatic hyperplasia. This safe and effective procedure is increasingly being adopted in urology training programs worldwide, yet limited teaching strategies have been described. Endoscopic handling during HoLEP allows for a simultaneous interaction between the surgeon and trainee, facilitating a guided teaching strategy with increasing difficulty as experience grows. In this article, we describe our stepwise approach for teaching HoLEP as part of a structured surgical training curriculum. We also evaluate the association of our method with intraoperative efficiency parameters and immediate postoperative surgical outcomes of 200 HoLEP procedures.

  Keywords: benign prostatic hyperplasia, HoLEP, surgical education, training,

  Apr 2024 (Vol. 31, Issue 2 , Page 11848)
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• Photoselective vaporization of the prostate in office and outpatient settings

  Rosenthal D. Brian , DiTrolio V. Joseph, MD Urological Associates of Montgomery County, East Norriton, Pennsylvania, USA

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  The 980 nm/1470 nm diode laser represents the latest in laser technology for photovaporization of the prostate. Surgeons have already used this device in both inpatient and outpatient (office and ASC) setting to produce transurethral resection of the prostate (TURP) like lesions-albeit with fewer complications than traditional methods. The objective of this article is to report the techniques we used to demonstrate its efficacy and safety of the Evolve Dual (biolitec Inc., East Longmeadow, MA, USA) system in an outpatient surgery type setting.

  Keywords: photovaporization, in office, holmium laser prostatectomy, holmium laser enucleation of the prostate (HoLEP), intravesical tissue morcellation,

  Apr 2012 (Vol. 19, Issue 2 , Page 6223)
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