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Pierluigi Bove, MD, explores the nuances of endoscopic enucleation of the prostate, emphasizing surgical technique, device selection, and procedural optimization. In this 19-minute presentation, Dr. Bove shares key insights on achieving optimal outcomes. Laser enucleation is now well-established in guidelines, offering a versatile option for various prostate sizes. He indicates the choice between holmium and thulium laser depends on the surgeon's expertise, as both offer effective outcomes. Dr. Bove highlights the importance of precise anatomical dissection. Pulse modulation technology improves energy delivery, enhancing efficiency and reducing coagulation depth. Dr. Bove shares his structured approach with a video of a procedure. He begins with a U-shaped incision at the apex, mucosal release, and stepwise enucleation of lobes to maintain orientation and clear visualization during morcellation. He shares practical tips for trainees, stressing mentorship, recognizing anatomical planes, and prioritizing hemostasis to ensure safe and effective procedures. Don't forget to join the GRU Community: https://grandroundsinurology.com/regi... Follow us on Twitter/X: https://x.com/GRUrology And like and subscribe to us here on YouTube!