Abstract：
Holmium enucleation of the prostate (HoLEP) is a gold-standard, size-independent surgical treatment for benign prostatic hyperplasia (BPH) distinguished for its efficacy in tissue removal, shorter catheterization durations, lower transfusion rates, and decreased hospital stays when compared to transurethral resection of the prostate (TURP). The objective of this article is to demonstrate the step-by-step procedure of holmium laser cystolitholapaxy and enucleation of the prostate for BPH, emphasizing a top-down modified two-lobe technique with early apical release which enhances visualization and irrigation flow during the enucleation process.
摘要：
前列腺钬剥除术（HoLEP）是一种金标准，大小无关的良性前列腺增生（BPH）的手术治疗因其在组织切除中的功效而著称，导管插入持续时间较短,较低的输血率，与经尿道前列腺电切术（TURP）相比，住院时间缩短。本文的目的是演示BPH的钬激光膀胱结石和前列腺摘除术的逐步程序，强调自上而下的改良双叶技术，具有早期的根尖释放，可增强摘除过程中的可视化和冲洗流量。
