Reevaluating ‘Top-Down’ HoLEP: the case for anterior fibromuscular stroma as a surgical landmark

Elmansy H, Abbas L, Fathy M, Hodhod A, Shabana W, Alkandari A, et al. Top-down holmium laser enucleation of the prostate (HoLEP) versus traditional HoLEP for the treatment of benign prostatic hyperplasia (BPH): 1-year outcomes of a randomized controlled trial. Prostate Cancer Prostatic Dis. 2023. https://doi.org/10.1038/s41391-023-00730-x. Epub ahead of print.

Endo F, Shiga Y, Minagawa S, Iwabuchi T, Fujisaki A, Yashi M, et al. Anteroposterior dissection HoLEP: a modification to prevent transient stress urinary incontinence. Urology. 2010;76:1451–5.

Article  PubMed  Google Scholar 

Saitta G, Becerra JEA, Del Alamo JF, Gonzalez LL, Elbers JR, Suardi N, et al. En Bloc’ HoLEP with early apical release in men with benign prostatic hyperplasia. World J Urol. 2019;37:2451–8.

Article  PubMed  Google Scholar 

Fujisaki Y, Otsuka I, Kobayashi T, Miyake N, Ito K, Terada N, et al. Use of the anterior prostatic urethral mucosa preservation technique during holmium laser enucleation of the prostate can reduce postoperative stress urinary incontinence. Asian J Endosc Surg. 2023. https://doi.org/10.1111/ases.13256. Epub ahead of print.

Lin Y-H, Tsui K-H, Juang H-H. Anterior fibromuscular stroma: the possible role for transient incontinence after endoscopic enucleation of prostate. Investig Clin Urol. 2023;64:512–3.

Article  PubMed  PubMed Central  Google Scholar 

Lin Y-H, Chang S-Y, Tsao S-H, Hou C-P, Chen C-L, Lin W-C, et al. Anterior fibromuscular stroma-preserved endoscopic enucleation of the prostate: a precision anatomical approach. World J Urol. 2023;41:2127–32.

Article  PubMed  Google Scholar 

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