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Holmium Laser Enucleation of the Prostate (HoLEP)
Author(s) -
Gilling Peter
Publication year - 2008
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2007.07341.x
Subject(s) - enucleation , medicine , surgery
Holmium laser enucleation of the prostate (HoLEP) has been used for over 10 years and is generally done in a similar manner by all of its practitioners. It developed gradually from ablative and resectional techniques using the high-powered ( > 60 W) holmium laser because of the desire for increased efficiency. The expanding adenoma in BPH creates a natural tissue plane which can be exploited surgically both during open prostatectomy and endoscopic (HoLEP) surgery. Increasing experience with Holmium Prostatectomy led to increased use of this plane in a retrograde direction, the development of a viable transurethral soft-tissue morcellator enabled entire anatomical lobes to then be safely liberated [1].