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

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Benign prostatic hyperplasia (BPH) is a leading cause of lower urinary tract symptoms in aging men, often requiring surgical intervention.
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Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive alternative to transurethral resection of the prostate (TURP) with proven efficacy.
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The study evaluated a modified low-caliber HoLEP technique using a 21 Fr internal urethrotomy sheath in a resource-constrained setting.
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Forty-seven patients underwent mLC-HoLEP, matched with 48 patients who had standard HoLEP, to compare short-term outcomes and complications.
5

Postoperative evaluations included assessments of continence status, urethral stricture formation, and the need for reintervention.

World Journal Of Urology

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