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En-bloc vs. Three-Lobe: TheRelevant Approach in ModernHolmium Laser Enucleation?

By Борис Попщерев

Volume 12, Issue 1

Original Article / Published: December 2024

DOI:

Tzvetkov N, Krastev K, Stoyanov N, Ibrahimov K, Davidov K

Clinic of Urology, University Hospital Sofiamed

Abstract

Purpose: To compare the effectiveness and advantages of the standard 3-lobe technique versus the modi…ed en-bloc technique in holmium laser enucleation of the prostate (HoLEP).

Methods: A prospective randomized study involving 100 patients diagnosed with benign prostatic hyperplasia who underwent HoLEP between 05/2022 and 05/2023. Parameters analyzed included enucleation time, morcellation time, and blood loss, which were assessed using a MANCOVA model.

Results: The en-bloc technique showed significantly shorter enucleation time compared to the 3-lobe technique (37.78 ± 12.83 minutes, p<0.05). Larger prostate size was associated with prolonged operative time and increased blood loss.

Conclusion: The en-bloc technique offers advantages such as faster enucleation time and the potential to reduce overall operative time. These findings highlight the importance of tailoring the surgical approach to prostate size for optimal outcomes.

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Volume 11, Issue 1
Article [pdf]

Keywords:

benign prostatic hyperplasia, holmium laser enucleation, en-bloc technique, 3-lobe technique.

How to cite this article:

Tzvetkov N, Krastev K, Stoyanov N, Ibrahimov K, Davidov K En-bloc vs. Three-Lobe: The Relevant Approach in Modern Holmium Laser Enucleation?; Endourology and minimally invasive; surgery, 2024; 12(1): 59-63

Corresponding author:

Dr. Nikola Tzvetkov

Clinic of Urology Sofiamed University Hospital

Address: 16A G.M. Dimitrov Blvd. Sofia 1000, Bulgaria

Email: nikolatzvetkov96@gmail.com