Old wine in new bottles?
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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 . 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) , en bloc , en bloc “no touch” techniques , or the anteroposterior dissection HoLEP technique . The only issue that is not “new” is the 3 horse shoe-like incision HoLEP (3 HSI HoLEP) . 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...
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.
- 2.Cornu JN, Ahyai S, Bachmann A, de la Rosette J, Gilling P, Gratzke C, McVary K, Novara G, Woo H, Madersbacher S (2015) A systematic review and meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic obstruction: an update. Eur Urol 67:1066–1096CrossRefGoogle Scholar
- 4.Cracco CM, Scoffone CM (2017) Low-power versus high-power en-bloc no-touch holmium laser enucleation of the prostate (HoLEP); comparing feasibility, safety and efficacy. J Endourol 31(S2):A304Google Scholar
- 8.Miernik A, Schoeb DS (2018) “Three horse shoe-like incision” holmium laser enucleation of the prostate: first experience with a novel en bloc technique for anatomic transurethral prostatectomy. World J Urol. https://doi.org/10.1007/s00345-018-2418-0 (Epub ahead of print) CrossRefPubMedPubMedCentralGoogle Scholar