HoLEP using a 21 Fr internal urethrotomy sheath, a feasible alternative to MiLEP in resource-limited settings - Summary - MDSpire

HoLEP using a 21 Fr internal urethrotomy sheath, a feasible alternative to MiLEP in resource-limited settings

  • By

  • Aykut Aykaç

  • Coşkun Kaya

  • Mustafa Sungur

  • Mehmet Erhan Aydın

  • June 27, 2026

  • 0 min

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Objective:

To compare the short-term functional outcomes and complication profile of modified low-caliber HoLEP (mLC-HoLEP) using a 21 Fr internal urethrotomy sheath with standard HoLEP.

Approach:
  • Method: label
  • Method: text
Key Findings:
  • mLC-HoLEP demonstrated comparable functional outcomes to standard HoLEP, with specific metrics indicating similar efficacy.
  • The use of a 21 Fr sheath reduced the risk of urethral trauma, as evidenced by lower reported rates of complications.
  • No significant differences in complication rates between mLC-HoLEP and standard HoLEP were observed, with both techniques showing acceptable safety profiles.
Interpretation:

The modified technique using a 21 Fr sheath may provide a safe and effective alternative to standard HoLEP in settings with limited resources.

Limitations:
  • The single-center nature of the study may limit the generalizability of the findings to broader populations.
  • The retrospective design may introduce selection bias, affecting the reliability of the outcomes.
Conclusion:

mLC-HoLEP using a 21 Fr internal urethrotomy sheath presents a potential alternative in resource-constrained environments, warranting further investigation.

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