Holmium Laser Enucleation of the Prostate.

INTRODUCTION

Holmium laser enucleation of the prostate (HoLEP) offers superior voiding outcomes to traditional transurethral resection and less morbidity than open simple prostatectomy. Likewise, HoLEP has been determined to result in excellent outcomes regardless of gland size. We present a step-by-step surgical approach to HoLEP describing both the traditional enucleation technique and a modified "top-down" surgical technique.

MATERIALS AND METHODS

In this video, two techniques are presented that were performed by two (A.E.K., J.E.L.) surgeons at our institution.

RESULTS

In the examples of the two enucleation techniques mentioned, outcomes are similar with regard to surgical and functional outcomes.

CONCLUSIONS

HoLEP as a treatment for BPH with associated lower urinary tract symptoms (LUTS) results in excellent patient outcomes and can be offered to patients regardless of prostate volume.