Clinical Study

Holmium Laser Enucleation of the Prostate: Modified Two-Lobe Technique versus Traditional Three-Lobe Technique—A Randomized Study

Figure 2

Surgical procedures of modified two-lobe technique. (a) Step 1: incision is made circumferentially from the 7 o’clock position to the 11 o’clock position near the verumontanum. (a, b) Step 2: incision is lengthened down to 11 o’clock, approximately 1 cm from the bladder neck. (b) Step 3: Incision is made laterally to the 7 o’clock position near the bladder neck. (a, b) Step 4: incision is made back to the starting point. (c) Bladder neck after the unilateral lobe has been released. (d) Step 5: incision is made circumferentially from the 7 o’clock position to the 1 o’clock position near the verumontanum. (d, e) Step 6: incision is lengthened down to 1 o’clock, approximately 1 cm from the bladder neck. (e) Step 7: incision is made back to the 7 o’clock near the verumontanum. (f) Bladder neck after three lobes has been released. (g) The mucous membranes of the prostatic urethra from the 11 o’clock to 1 o’clock positions are preserved.
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