Using an end fire probe can create an immediate open prostatectomy like defect.

Uses the efficient cutting, coagulation, and vaporization capabilities of holmium to endoscopically enucleate the three lobes of the prostate.

HOLEP - Advantages

- Complete enucleation of adenoma-mimics like open prostate removal

- Tissue sample for HPE

- Short catheter time

- No TURP syndrome – uses normal saline instead of glycine

- Can be used in patient on anticoagulants like post CABG or Stenting