Safety and efficacy of concomitant holmium laser enucleation of the prostate with transurethral endoscopic management of symptomatic large bladder diverticulum: revisiting a historical technique in the modern era with literature review - Takeaways - MDSpire

Safety and efficacy of concomitant holmium laser enucleation of the prostate with transurethral endoscopic management of symptomatic large bladder diverticulum: revisiting a historical technique in the modern era with literature review

  • By

  • Aravindh Rathinam

  • Ansh Bhatia

  • Maggie Meyreles

  • Hasim Bakbak

  • Johnathan Katz

  • Robert Marcovich

  • Hemendra N. Shah

  • August 23, 2025

  • 0 min

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  • 1

    Bladder diverticula are common in adults, often linked to benign prostatic obstruction, with 6% of men with bladder outlet obstruction having associated diverticula.

  • 2

    Surgical intervention for bladder diverticula is typically reserved for symptomatic cases, including recurrent UTIs, bladder stones, or hydronephrosis.

  • 3

    Holmium laser enucleation of the prostate (HoLEP) is a size-independent, hemostatic alternative to TURP, gaining acceptance for benign prostatic obstruction.

  • 4

    This study presents the first outcomes of concomitant HoLEP with transurethral management of large bladder diverticula, supporting a renewed role for transurethral techniques.

  • 5

    The study included 7 patients undergoing combined HoLEP and transurethral diverticulum management, with postoperative evaluations assessing functional outcomes and complications.

Original Source(s)

Safety and efficacy of concomitant holmium laser enucleation of the prostate with transurethral endoscopic management of symptomatic large bladder diverticulum: revisiting a historical technique in the modern era with literature review

  • by Aravindh Rathinam, Ansh Bhatia, Maggie Meyreles, Hasim Bakbak, Johnathan Katz, Robert Marcovich, Hemendra N. Shah

  • August 23, 2025

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