Holmium Laser Enucleation of the Prostate

Marcelino E. Rivera, James E. Lingeman, Amy E. Krambeck*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Introduction: Holmium laser enucleation of the prostate (HoLEP) offers superior voiding outcomes to traditional transurethral resection and less morbidity than open simple prostatectomy. Likewise, HoLEP has been determined to result in excellent outcomes regardless of gland size. We present a step-by-step surgical approach to HoLEP describing both the traditional enucleation technique and a modified "top-down" surgical technique. Materials and Methods: In this video, two techniques are presented that were performed by two (A.E.K., J.E.L.) surgeons at our institution. Results: In the examples of the two enucleation techniques mentioned, outcomes are similar with regard to surgical and functional outcomes. Conclusions: HoLEP as a treatment for BPH with associated lower urinary tract symptoms (LUTS) results in excellent patient outcomes and can be offered to patients regardless of prostate volume.

Original languageEnglish (US)
Pages (from-to)S7-S9
JournalJournal of Endourology
StatePublished - May 1 2018


  • Holmium Laser Enucleation of the Prostate
  • benign prostatic hyperplasia
  • bladder

ASJC Scopus subject areas

  • Urology


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