Abstract
Abstract Introduction: Holmium laser enucleation of the prostate (HoLEP) is an effective treatment option for bladder outflow obstruction secondary to prostatic enlargement. However, concerns about bladder mucosal injuries secondary to morcellation of the prostatic adenoma after enucleation slow the learning curve and prevent some urologists from learning the procedure. We reviewed 13 years of experience in a single center and suggest some tips and tricks to perform a safe and quick morcellation. Materials and Methods: A retrospective review of a prospective database of all HoLEP procedures performed by or under supervision of a single consultant urological surgeon was undertaken. Laser enucleation was performed using the Lumenis Pulse™ 120 Holmium laser and morcellation with the Lumenis VERSACUT™ tissue morcellator system. Data were recorded for morcellation time, retrieval time, and specimen weight and all case notes were reviewed for morcellation injury. Results: Between December 2003 and March 2017, 1...
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