HOW I DO IT

• How I Do It: Holmium laser cystolitholapaxy and enucleation of the prostate for benign prostatic hyperplasia

  Gao M. Bruce, Saadat Seyedamirvala, Choi J. H. Edward, Jiang James, Das K. Akhil Department of Urology, University of California, Irvine, Orange, California, USA

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  Holmium enucleation of the prostate (HoLEP) is a gold-standard, size-independent surgical treatment for benign prostatic hyperplasia (BPH) distinguished for its efficacy in tissue removal, shorter catheterization durations, lower transfusion rates, and decreased hospital stays when compared to transurethral resection of the prostate (TURP). The objective of this article is to demonstrate the step-by-step procedure of holmium laser cystolitholapaxy and enucleation of the prostate for BPH, emphasizing a top-down modified two-lobe technique with early apical release which enhances visualization and irrigation flow during the enucleation process.

  Keywords: prostate, BPH, HoLEP, cystolitholapaxy, holmium,

  Jun 2024 (Vol. 31, Issue 3 , Page 11904)
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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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