V11-02 VISUAL ENDOSCOPIC ANATOMY: LESSONS FROM BLUNT DISSECTION DURING THE EARLY EXPERIENCE OF HOLMIUM LASER ENUCLEATION OF THE PROSTATE

• DOI: 10.1097/01.ju.0001009368.07681.43.02
• Publication Date: 2024-04-15T21:36:53Z
• Authors: Ahmed M. Harraz; Abdelrahman I. El...; Ali Almoumen; Awad Thahir; Feras Ajrawi; Abdullah Alarbid; Ahmad Alghurair; Mohammad Alghanem; Saad A. Aldousari; Faisal Alhajeri

You have accessJournal of UrologyBPH/Male Voiding Dysfunction/Infection/Misc. Imaging (V11)1 May 2024V11-02 VISUAL ENDOSCOPIC ANATOMY: LESSONS FROM BLUNT DISSECTION DURING THE EARLY EXPERIENCE OF HOLMIUM LASER ENUCLEATION PROSTATE Ahmed M. Harraz, Abdelrahman I. Eltafahny, Ali Almoumen, Awad Thahir, Feras Ajrawi, Abdullah Alarbid, Ahmad Alghurair, Mohammad Alghanem, Saad A. Aldousari, and Faisal Alhajeri HarrazAhmed Harraz , EltafahnyAbdelrahman Eltafahny AlmoumenAli Almoumen ThahirAwad Thahir AjrawiFeras Ajrawi AlarbidAbdullah Alarbid AlghurairAhmad Alghurair AlghanemMohammad Alghanem AldousariSaad Aldousari AlhajeriFaisal View All Author Informationhttps://doi.org/10.1097/01.JU.0001009368.07681.43.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Holmium Laser Enucleation the Prostate (HOLEP) is a standard procedure for management benign prostatic hyperplasia notably medium large-sized prostates. The main obstacle behind adopting HOLEP learning curve which arises mainly from confusion regarding creation maintenance surgical plane. We aim at characterizing visual endoscopic anatomy prostate improve curve. METHODS: A retrospective review video recordings 50 procedures performed was by two independent investigators. During our early experience, we used blunt dissection technique enucleate prostate. An ideal plane that with smooth surface arborized blood vessels. were reviewed variable speeds identify key areas during development started an apical mucosal incision, followed bilaterally using push resectoscope tip, gentle follow circumferentially. Near bladder neck, 12 O'clock incision done split ease its delivery into bladder. Data collected included types capsular fibers seen time median lobe enucleation. RESULTS: Both reviewers agreed on presence planes apex prostate, correct located between capsule thin adenoma, other adenoma nodules adenoma. Correction former required continue procedure. found rest fossa formed extension neck fibers. These separate lateral need be incised join both planes. CONCLUSIONS: should recognized beginners HOLEP. Source Funding: None © 2024 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e911 Advertisement Copyright & Permissions© Inc.Metrics Information More articles this author Expand PDF downloadLoading ...