Anteroposterior dissection three-lobe technique: an effective surgical method for inexperienced surgeons performing holm
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UROLOGY - ORIGINAL PAPER
Anteroposterior dissection three‑lobe technique: an effective surgical method for inexperienced surgeons performing holmium laser enucleation of the prostate Go Anan1 · Yasuhiro Kaiho1 · Hiromichi Iwamura1 · Yuki Kohada1 · Jotaro Mikami1 · Jun Ito1 · Makoto Sato1 Received: 13 March 2020 / Accepted: 2 May 2020 © Springer Nature B.V. 2020
Abstract Purpose To evaluate the effectiveness of anteroposterior dissection three-lobe technique for surgeons with no prior experience of holmium laser enucleation of the prostate (HoLEP) Methods In this retrospective single-center study, we compared perioperative complications and postoperative urinary conditions between an experienced surgeon and surgeons with no prior experience of HoLEP. Forty patients were operated by one experienced surgeon (group A), and another 40 patients were operated by four inexperienced surgeons (group B) under the guidance of the instructor. The enucleation procedure was performed by anteroposterior dissection three-lobe technique. Results Patient characteristics were comparable in the two groups in age, body mass index, and preoperative prostate volume. The enucleation efficiency rate [0.96 vs 0.56 g/min (P
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