Open Access

HOW I DO IT

How I Do It: Teaching holmium laser enucleation of the prostate (HoLEP)

Agustín Pérez-Londoño, Alejandro Abello, Boris Gershman, Ruslan Korets

Division of Urologic Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
Address correspondence to Dr. Ruslan Korets, Division of Urologic Surgery, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215 USA

Canadian Journal of Urology 2024, 31(2), 11848-11853.

Abstract

Holmium laser enucleation of the prostate (HoLEP) is considered a size-independent technique to treat benign prostatic hyperplasia. This safe and effective procedure is increasingly being adopted in urology training programs worldwide, yet limited teaching strategies have been described. Endoscopic handling during HoLEP allows for a simultaneous interaction between the surgeon and trainee, facilitating a guided teaching strategy with increasing difficulty as experience grows. In this article, we describe our stepwise approach for teaching HoLEP as part of a structured surgical training curriculum. We also evaluate the association of our method with intraoperative efficiency parameters and immediate postoperative surgical outcomes of 200 HoLEP procedures.

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