title: [Holmium laser enucleation of the prostatic adenoma].
abstract: Holmium laser enucleation of the prostatic adenoma (HoLEP) represents an innovative surgical option for the treatment of bladder outlet obstruction caused by benign prostatic hypertrophy. The results of numerous randomized prospective studies and clinical case series have confirmed that HoLEP is a procedure that attains immediate bladder outlet obstruction release, that improvement of symptomatic and uroflowmetry parameters is maintained in the midterm and, it is associated with less morbidity than conventional surgery. On the other hand, the shortage of urologists with experience in this procedure, and its technical difficulty have limited its spread in our environment. In this article we describe in detail the technique we use in our center for the performance of HoLEP, emphasizing the modifications we have introduced with time to make the operation easier and to avoid complications.
authors.affiliation: Servei d'Urologia, Hospital Universitari Vall d'Hebron, Universitat Autónoma de Barcelona, España. jplacersantos@gmail.com
authors.forename: José
authors.initials: J
authors.lastname: Placer
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: López
authors.forename: Carles
authors.initials: C
authors.lastname: Raventós
authors.forename: Jacques
authors.initials: J
authors.lastname: Planas
authors.forename: Carlos
authors.initials: C
authors.lastname: Salvador
authors.forename: Jorge
authors.initials: J
authors.lastname: Ropero
authors.forename: Juan
authors.initials: J
authors.lastname: Morote
mesh_terms: D000075202:Contraindications; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects / Q000379:methods*; D053844:Lasers, Solid-State; D008297:Male; D011300:Preoperative Care; D011470:Prostatic Hyperplasia / Q000601:surgery*; D020728:Transurethral Resection of Prostate / Q000009:adverse effects; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000601:surgery; D014563:Urodynamics / Q000502:physiology; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*