Department of Urology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Investig Clin Urol. 2019 Sep;60(5):333-342. doi: 10.4111/icu.2019.60.5.333. Epub 2019 Aug 30.
Holmium laser enucleation of the prostate (HoLEP) has been accepted as the most efficient method of transurethral surgery for benign prostatic hyperplasia. The originally developed three-lobe technique has popularized this surgery; this method is based on three longitudinal incisions, by which the median lobe is removed, and subsequently, both lateral lobes are enucleated. To maintain a consistent surgical plane and to minimize sphincteric damage, the traditional three-lobe technique is continuously being refined and evolving. A few modifications of the original technique have been developed, and several enucleation methods have been introduced. However, more clinical evidence is required to show the superiority of newer techniques over the original three-lobe technique in terms of efficacy and long-term side effects. To date, none of the newer techniques have been accepted as a standard technique for HoLEP.
钬激光前列腺剜除术（HoLEP）已被公认为治疗良性前列腺增生的最有效的经尿道手术方法。最初开发的三叶技术已经普及了这种手术；该方法基于三个纵向切口，通过该切口切除中叶，然后剜除两侧叶。为了保持一致的手术平面并最大程度地减少括约肌损伤，传统的三叶技术不断得到改进和发展。对原始技术进行了一些修改，并引入了几种剜除方法。然而，需要更多的临床证据来表明较新技术在疗效和长期副作用方面优于原始三叶技术。迄今为止，尚无任何新技术被接受为 HoLEP 的标准技术。
