Anatomical Enucleation of the Prostate with Thulium:YAG Support: Redefinition of the Surgical Approach in Two-Lobe Technique

Abstract

Abstract Introduction: Transurethral resection of the prostate (TURP), vaporization or complete removal of the transitional zone by transurethral enucleation of the prostate (TUEP) are viable surgical options for bladder outlet obstruction secondary to benign prostatic hyperplasia.1–25 TURP using high-frequency current has been considered the standard of care.8,12 The concept of TUEP in general and anatomical “cold” dissection has gained attention especially since the end of the 2000s with the introduction of novel energy sources. In 2010, we presented our technique of transurethral anatomical enucleation of the prostate with Tm:YAG support (thulium-laser-enucleation of the prostate [ThuLEP]) as a blueprint for TUEP techniques.11 Anatomical TUEP offers complete removal of prostate adenoma and can be performed with any energy source: that is, bipolar or monopolar power as well as laser sources. Material and Methods: In this video we present our technique of anatomical TUEP with Tm:YAG support (ThuLEP) in a...