de Figueiredo Felipe Carvalho Antunes, Cracco Cecilia Maria, de Marins Rodrigo Loureiro, Scoffone Cesare Marco
Department of Urology, Pompéia Hospital, Caxias do Sul, Brazil.
Department of Urology, Cottolengo Hospital of Torino, Torino, Italy.
Andrologia. 2020 Sep;52(8):e13582. doi: 10.1111/and.13582. Epub 2020 Apr 8.
Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive and size-independent treatment for benign prostatic hyperplasia with excellent long-term surgical outcome. Considered difficult to learn, different modifications of the technique have been proposed in the last 21 years to overcome the most common problems encountered during this procedure. We present a step-by-step technique including the reasons and advantages of each modification we have progressively adopted until we evolved into our totally en-bloc no-touch low-power HoLEP.
钬激光前列腺剜除术（HoLEP）是一种治疗良性前列腺增生的微创且不受前列腺大小限制的方法，具有出色的长期手术效果。由于该技术被认为难以掌握，在过去21年里人们提出了不同的改良方法，以克服该手术过程中遇到的最常见问题。我们展示一种逐步操作技术，包括我们逐步采用的每种改良方法的原因和优点，直到我们演变成完全整块非接触式低功率HoLEP。
