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

Bruce M Gao; Seyedamirvala Saadat; Edward J H Choi; James Jiang; Akhil K Das

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

Can J Urol. 2024 Jun;31(3):11904-11907.

Authors

Bruce M Gao¹, Seyedamirvala Saadat¹, Edward J H Choi¹, James Jiang¹, Akhil K Das¹

Affiliation

¹ Department of Urology, University of California, Irvine, Orange, California, USA.

PMID: 38912945

Abstract

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: BPH; HoLEP; cystolitholapaxy; holmium; prostate.

MeSH terms

Humans
Laser Therapy / methods
Lasers, Solid-State* / therapeutic use
Male
Prostatectomy / methods
Prostatic Hyperplasia* / surgery