Suprapubic transvesical adenoma resection of the prostate (STAR-P): step-by-step technique

This article provides a comprehensive, step-by-step description of the STAR-P technique. The primary objective is to detail patient selection criteria, preoperative assessments, procedural steps including mini-open suprapubic access, specialized instrumentation usage, resection techniques, and postoperative management protocols. Highlighting technical considerations and procedural innovations aims to inform urologists about the potential benefits of STAR-P, particularly in patients at higher risk for urethral complications or those with large prostate volumes. By documenting the procedural intricacies and outcomes clearly and thoroughly, we seek to encourage informed adoption of STAR-P as an alternative, effective surgical approach for managing benign prostatic hyperplasia, thus contributing to the evolving landscape of minimally invasive urological surgery.