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Holmium laser enucleation of the prostate technique for benign prostatic hyperplasia

Douglas C. Kelly, Akhil Das

Department of Urology, Thomas Jefferson University Hospital, Philadelphia Pennsylvania, USA
Address correspondence to Dr. Akhil Das, Department of Urology, Thomas Jefferson University Hospital, 1025 Walnut Street, Suite 1112, Philadelphia, PA 19107 USA

Canadian Journal of Urology 2012, 19(1), 6131-6134.

Abstract

Holmium laser resection of the prostate (HoLRP) was first described by Gilling et al in 1995. HoLRP has now evolved into holmium laser enucleation of the prostate (HoLEP) with the advent of the intravesical soft-tissue morcellator. The procedure involves anatomical dissection of the prostatic tissue off the surgical capsule in a retrograde fashion using a high-powered holmium laser followed by intravesical morcellation of the prostatic tissue. Some groups believe that the HoLEP procedure is the endoscopic equivalent to a simple open prostatectomy and may be superior to transurethral resection of the prostate (TURP) or even open prostatectomy. The objective of this article is to explain the techniques for holmium laser enucleation of the prostate (HoLEP).

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