The authors are addressing an important issue facing urologists doing holmium laser enucleation of the prostate early in their experience to prevent the early and temporary stress urinary incontinence that could be encountered and could last for a few weeks to a few months. They suggest that this technique could-shorten the steep learning curve, remains to be seen. The idea of starting the enucleation anteriorly is reminiscent of the Nesbitt technique of transurethral resection of the prostate that was quite popular. The major difference, however, is that during the TURP we are constantly removing tissue and opening up a space to work in. With enucleation however we need to constantly retract the adenoma as it is being enucleated.
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