HoLEP
Laser Enucleation of the Prostate (HoLEP)
Video case urology: holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Also called holmium laser enucleation of the prostate (HoLEP), the procedure uses a laser...
Virtual Basket Pulse Modulation Holmium Laser...
This is the case I presented at the recent meeting "Technology & Training in Endourology", organized by Cesare Scoffone and Cecilia Cracco. It shows a HoLEP case performed with another Holmium...
Real-life HoLEP 22: Low Power Holmium Laser In...
This video shows a real-life holmium laser enucleation of the prostate with a low power holmium laser (18 Hz, 2,2 J) in a patient with many adenomatous nodules. The plane was difficult as the patient...
Real-life HoLEP 21: Diverticular Bladder With...
This video shows a real-life en-block holmium laser enucleation of the prostate. This patient had a retention of urine with a 2 liter residual and also he had a diverticular bladder with stones.
Real-life HoLEP 20: Difficult Dissection Plane
This is a case where the differentiation of the plane is quite difficult. It is a nice video that shows some tips and tricks on how to navigate around the adenoma judging the depth of dissection when...
Real-Life HoLEP 19: Modified Three-Lobe HoLEP...
This is a video of a live transmission we carried out last week from our operating room at ICUA-Clínica CEMTRO. It shows how to use the concept of the "white line" to achieve an excellent external...
Real Life HoLEP 17 - Peripheral Zone BPH Nodule
This case is quite didactic, and I added some graphic information that might help explain the concepts I insist on for En Bloc enucleation. The audio was not recorded in the operating room, but I decided...
Real-Life HoLEP 16: A Man With Rigid Hips
This is a case of a man with very rigid hips. It was difficult to position him on a lithotomy position and the mobility of the scope was limited. But with enough patience, it was possible to negotiate...
Real Life HoLEP Case Number 15: Trilobar Prostate...
This is another case in the series, a man with a rather small-calibre urethra, and a trilobar prostate. I felt somewhat inspired and discussed several interesting aspects related to HoLEP and the development...
Real life HoLEP Case Number 13: A Bulky Prostate...
This is another interesting case. It teaches how one has to be patient and cope with low visibility sometimes and progress in the operation to complete it successfully. Video by Dr. Fernando Gómez Sancha.
Real Life HoLEP Case Number 12: Redo 10 Years...
This video shows A patient who was submitted to a GreenLight Vaporization 10 years before. Regrowth of adenomatous tissue had taken place and he needed a reoperation. A nice example of how good the en-bloc...
Real Life MoLEP Case Number 10: Large Prostate...
This video shows the uninterrupted and unedited MoLEP case (MOSES HoLEP) of a man who had lower urinary tract symptoms and who had been submitted to a prostate biopsy for a high PSA, which came back as...
Real Life HoLEP Cases Númber 9: En bloc HoLEP...
This video shows an en bloc Holmium laser enucleation with an early apical release on a trilobate prostate, relatively bulky. Video by Dr. Fernando Gómez Sancha.
Real-life MoLEP: Case Number 8 - Redo Case After...
This video shows a re-do en bloc enucleation with an early apical release. Interesting case. It shows how there is a lot of residual BPH tissue after 2 previous TURPS and tips and tricks on how to do...
Real-life HoLEP Case Number 7: Refractory Retention-ExcellentExplanation...
This video shows an En-bloc HoLEP performed with the MOSES 120 watt laser from Lumenis and it explains how to release the apex of the adenoma from the external urinary sphincter while protecting the sphincter...