Indiana University Department of Urology, Indianapolis, Indiana.
J Endourol. 2018 May;32(S1):S7-S9. doi: 10.1089/end.2017.0710.
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.
In this video, two techniques are presented that were performed by two (A.E.K., J.E.L.) surgeons at our institution.
In the examples of the two enucleation techniques mentioned, outcomes are similar with regard to surgical and functional outcomes.
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.
钬激光前列腺剜除术（HoLEP）在改善排尿功能方面优于传统经尿道前列腺切除术，且与开放性单纯前列腺切除术相比，其发病率更低。同样，HoLEP 已被证实无论前列腺体积大小，都能取得良好的效果。我们介绍了一种 HoLEP 的分步手术方法，描述了传统的剜除技术和改良的“自上而下”手术技术。
在这个视频中，我们的两位外科医生（A.E.K.，J.E.L.）演示了两种技术。
在提到的两种剜除技术的实例中，手术和功能结果相似。
HoLEP 是一种治疗 BPH 合并下尿路症状（LUTS）的方法，能为患者带来极好的效果，并且无论前列腺体积大小，都可以向患者提供该手术。
