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Amy E. Krambeck, MD discusses holmium laser enucleation of the prostate (HoLEP), emphasizing its advantages, indications, and technical refinements. She begins this 21-minute presentation by defining HoLEP as a simple prostatectomy performed entirely endoscopically, with no size limitations on prostate gland removal. Dr. Krambeck highlights HoLEP’s versatility, outlines a streamlined patient evaluation process, and stresses the importance of prostate cancer screening before surgery. She presents data from a randomized trial comparing different scope sizes and shares her preference for a larger scope. She describes her systematic technique, emphasizing tissue traction, precise dissection, and minimizing bleeding, illustrated by a procedure video. Dr. Krambeck presents long-term studies demonstrating HoLEP’s superior durability compared to TURP, with significantly lower retreatment rates over 18 years. Advancements in holmium laser technology, particularly pulse modulation, are discussed, with Dr. Krambeck stressing its improved efficiency, reduction in bleeding, and enhanced enucleation speed. 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!