Dear Editor,
I read the above-mentioned article with interest to learn something “new” about a “novel” technique of a procedure which has initially been described 20 years ago by Peter Gilling and Mark Fraundorfer [1]. Ever since, the three-lobe holmium laser enucleation of the prostate (HoLEP) procedure has been well established for the treatment of benign prostatic obstruction (BPO) as a size-independent method with excellent long-term results [1, 2]. Meanwhile, a lot of technical modifications have been described for the HoLEP procedure: high power [1, 3], low power (total low power, low power at the apex and bladder neck) [4], en bloc [5], en bloc “no touch” techniques [6], or the anteroposterior dissection HoLEP technique [7]. The only issue that is not “new” is the 3 horse shoe-like incision HoLEP (3 HSI HoLEP) [8]. The described approach is a fundamental part of the HoLEP procedure and can be seen in mostly all of the videos published in this field, but has not been labelled...
Notes
Author contributions
CN: project development, data collection, manuscript writing, data analysis and interpretation. BB: project development, data collection, manuscript writing, data analysis and interpretation.
Compliance with ethical standards
Conflict of interest
The authors have nothing to disclose.
Research involving human participants and/or animals
This article does not contain any research on patients.
References
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