Transurethral resection of the prostate. A classic endoscopic technique used to relieve prostatic obstruction. It remains a reference technique in selected patients.
Holmium laser enucleation of the prostate. Performs an anatomical enucleation of the adenoma. It can also be used effectively in large prostates.
Laser photoselective vaporization of the prostate. It may offer advantages related to hemostasis in certain patients.
Prostate ablation using a robotically controlled water jet.
Uses water vapor to produce thermal ablation of prostatic tissue.
Uses implants that retract prostatic tissue and widen the urethral lumen without resecting tissue.
May be indicated in large prostates when an enucleation or removal strategy for the adenoma is required.
The technique depends on:
Key concept
There is no single ideal surgery for all patients. The technique is selected according to the patient, the prostate, therapeutic goals, and available experience.
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