Department of Urology, University of California, Irvine, Orange, California, USA.
Can J Urol. 2024 Jun;31(3):11904-11907.
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.
钬激光前列腺剜除术（HoLEP）是治疗良性前列腺增生（BPH）的金标准、与前列腺体积无关的手术方法，与经尿道前列腺电切术（TURP）相比，其在组织切除、较短的导尿时间、较低的输血率和较短的住院时间方面具有优势。本文的目的是展示钬激光膀胱结石碎石术和前列腺剜除术治疗 BPH 的分步手术过程，强调自上而下的改良两叶技术，并在前列腺剜除过程中早期进行顶端松解，以增强可视化和灌流效果。
