The prostate gland is found in the adult male pelvis, enclosing and surrounding the posterior urethra. Its primary and only function is reproductive, as its secretions form a quarter of the seminal fluid. Benign prostatic hyperplasia (BPH) causes gland enlargement and is a normal physiological process. However, it may lead to obstruction of the urinary flow and present as lower obstructive or irritative urinary tract symptoms (LUTS). While there are many medical and surgical methods of dealing with BPH causing significant symptoms, treating larger glands (>80 grams in size) is especially difficult.One of the more successful, less invasive surgical treatment options for symptomatic BPH is laser therapy, which can be used for tissue vaporization (smaller prostates) or prostate gland enucleation, which can safely manage larger prostate glands of 80 grams or more.This review will explain the technique of holmium and thulium laser enucleation of the prostate (HoLEP and ThuLEP, respectively) in detail, highlight the indications and patient selection, review the benefits, and explain how to avoid, recognize, and treat major complications of the procedure.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/151519
- Start Date: 2024-12-01 06:00:00
- End Date: 2024-12-01 06:00:00
- Credit Details: AMA PRA Category 1 Credit™️: 1.5 hours
Nursing: 1.5 hours
Pharmacy: 1.5 hours - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all