Minimally invasive Laser Enucleation of the Prostate (MiLEP): Slim (22Ch) and Ultra Slim (18.5Ch) HoLEP

Minimally invasive Laser Enucleation of the Prostate (MiLEP): Slim (22Ch) and Ultra Slim (18.5Ch) HoLEP

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Transurethral enucleation of the prostate leads to greater symptom improvement, increase in flow rate, and reduction in postvoid residual than other transurethral procedures for patients with bladder click here outlet obstruction caused by prostate enlargement.However, enucleation still shows comparable rates of urethral strictures, and in some series higher rates of early urinary incontinence.We present the concept of Minimally invasive Laser Enucleation of the prostate (MiLEP), in which smaller caliber instruments are used with the aim of reducing urethral complications while maintaining effectiveness and efficiency.Our video shows a Holmium Laser Enucleation of the Prostate (HoLEP) performed using an tillman 750m 18.

5Ch (Ultra Slim) endoscope to treat a patient in urinary retention with an estimated prostate size of 80cc.A step-by-step description of our en bloc no touch technique with early sphincter liberation is provided.