title: Enucleation techniques for benign prostate obstruction: which one and why?
abstract: OBJECTIVE
  Endoscopic enucleation of the prostate is the most advanced form of surgical management of benign prostate hyperplasia. The purpose of this review is to update the reader on various modalities currently in use, and in trial, for endoscopic enucleation.
  
  
  RESULTS
  A recent paradigm shift has occurred for the proponents of electrosurgery technology to utilizes the advantages offered by laser enucleation with interest in bipolar enucleation. Holmium laser enucleation still has the greatest randomized evidence with the longest follow-up among all the various lasers used to perform enucleation.
  
  
  CONCLUSIONS
  Randomized trials with longer follow-up are required to demonstrate whether nonholmium types of energy really have advantages in enucleation (speed, ease of use and hemostasis) and durability (decade plus) as compared to the holmium laser.
authors.affiliation: Department of Urology, Tauranga Hospital, Bay of Plenty District Health Board, Tauranga, New Zealand.
authors.forename: Arman
authors.initials: A
authors.lastname: Kahokehr
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Gilling
mesh_terms: D004724:Endoscopy / Q000295:instrumentation; D004867:Equipment Design; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation; D054023:Lasers, Semiconductor; D053844:Lasers, Solid-State; D008297:Male; D011467:Prostate / Q000503:physiopathology / Q000601:surgery*; D011470:Prostatic Hyperplasia / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000295:instrumentation / Q000379:methods*