Minimally Invasive Thulium Laser Enucleation of the Prostate

The goal of Minimal Invasive Laser Enucleation of Prostate (MiLEP) surgery is to reduce complication rates and risk of urethral trauma, while providing similar success rates by using smaller caliber instruments.Enucleation was performed with 22 Ch outer resectoscope sheath, a rotatable 19 Fr inner sheath, a 2.9 mm 30 degrees telescope (Tontarra -Germany).In this surgery, a 100 W pulse thulium YAG laser (Dornier Thulio High Power Laser) with a 550 m fiber laser was used.Enucleation was performed at 2 J & 50 Hz (enucleation mode), and coagulation at 0.4 J & 75 Hz (soft tissue mode).The total surgical time was 32 minutes.The enucleation duration was 17 minutes, and morcellation took 11 minutes.No intraoperative complications were observed.MiLEP surgery aims to provide similar efficacy to standard endoscopic laser enucleation of the prostate while using smaller endoscopic instruments and reducing postoperative complications.