En bloc enucleation technique during holmium laser enucleation of the prostate: An analysis of its efficiency.

Objective: Despite the acknowledgment that holmium laser enucleation of the prostate (HoLEP) is a safe, efficacious procedure with benefits over traditional treatments, it is not widely adopted. Its steep learning curve is considered responsible, and the new en bloc technique (EBT) aims to improve this.

Methods: A retrospective analysis of 268 consecutive patients (215 lobe technique [LT] and 53 EBT) who underwent HoLEP between May 2016 and April 2020 was performed.

Holmium Laser Enucleation of the Prostate: Simulation-Based Training Curriculum and Validation.

Objective: To evaluate the face, content, and construct validity of a novel virtual reality simulator for holmium laser enucleation of the prostate (HoLEP) and to assess its feasibility and acceptability as a training model.

Methods: This prospective observational study recruited 53 participants, comprising of 3 groups: HoLEP experts (n = 11), intermediates (n = 24), and novices (n = 18). All participants received an educational package and a 15-minute familiarization exercise with the simulator.

Holmium laser enucleation of the prostate: a review of the clinical trial evidence.

Transurethral resection of the prostate (TURP) has remained the procedure of choice for the surgical treatment of bladder outflow obstruction for almost five decades, but holmium laser enucleation of the prostate (HoLEP) is now emerging as a challenger as the gold standard procedure. This review summarizes the evidence base for HoLEP, with particular reference to randomized, controlled (level 1) evidence.

Redefining the limits of flexible ureterorenoscopy.

Background And Purpose: Flexible ureterorenoscopic holmium laser lithotripsy allows retrograde management of renal calculi that previously needed alternative strategies. This study assesses the influences of stone size, density, and location on treatment outcomes from a large series.

Patients And Methods: Data concerning patients who presented for ureterorenoscopic laser lithotripsy between May 2005 and September 2008 were retrospectively analyzed.

Vesico-acetabular cutaneous fistula: a delayed complication of hip surgery.

Vesico-acetabular cutaneous fistula is an uncommon but important postoperative complication of prosthetic hip surgery. We present a case and images involving a 70-year-old woman who presented with a chronically discharging gluteal wound, 5 years after a complex composite hip replacement.