Smaller scopes, bigger impact: retrospective outcomes of minimally invasive holmium enucleation of the prostate (MILEP).

ABSTRACT:

Introduction

Holmium laser enucleation of the prostate (HoLEP) is a size-independent and durable treatment, traditionally performed using 26-28 Fr resectoscopes. While larger scopes offer improved visualization and irrigation, they may increase the risk of urethral trauma and strictures. A 22 Fr HoLEP system has recently been introduced, aiming to minimize morbidity without compromising surgical efficiency. This study evaluates perioperative outcomes, safety, and early functional results using the 22 Fr HoLEP system for Minimally Invasive Laser Enucleation of the Prostate (MiLEP).

Methods

We conducted a retrospective review of a database of patients who underwent MiLEP between January 2022 and September 2024. Inclusion criteria were age ≥ 40, prostate volume ≥ 35 cm³, and mo

SUBMITTER: Yuldashev D 

PROVIDER: S-EPMC12817710 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature