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HOW I DO IT

HOW I DO IT: an alternative for prostatic morcellation during MiLEP 18.5 Fr in patients with urethral stricture

Camila Pedergnana*, Lucas Bergadá, Federico Ignacio Tirapegui, Guillermo Montelli Yanzi, Diego Santillan, Christian Cristallo, Mariano Sebastian Gonzalez
Department of Urology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
* Corresponding Author: Camila Pedergnana. Email: email
(This article belongs to the Special Issue: Prostatic Enucleation: Current Evidence and Contemporary Practice)

Canadian Journal of Urology https://doi.org/10.32604/cju.2026.084567

Received 05 May 2026; Accepted 09 July 2026; Published online 13 August 2026

Abstract

Urethral stricture continues to challenge boundaries of minimally invasive laser enucleation of the prostate (MiLEP) particularly when low-caliber systems preclude conventional transurethral morcellation when using an Ultra Slim 18.5 Fr mini resectoscope. We describe a simple yet effective technical adaptation using suprapubic morcellation that may overcome this limitation and expand the indications for a fully endoscopic approach in patients who would otherwise not be considered candidates offering a reproducible and low-morbidity solution. The objective of this article is to describe a surgical alternative for endoscopic prostatic adenoma morcellation.

Keywords

bladder outlet obstruction; holmium laser enucleation; urethral stricture; minimally invasive laser enucleation of the prostate; prostatic morcellation
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