Minimally invasive laser enucleation of the prostate (MiLEP) in a patient with prior EPA urethroplasty and an indwelling "Butterfly" prostatic retractor device: A case report.

Ophir Winder, Itay Sabler, Pavel Bakaleyschik, Amir Zarror, Amnon Zisman, Ehud Gnessin

Abstract readCase Reports

In one paragraph

Article in Urology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Ophir WinderAssuta Medical Center, 20 HaBarzel St., Ramat HaHayal, Tel Aviv, 69710, Israel.

Itay SablerDepartment of Urology, Shamir Medical Center, Zerifin, 70300, Israel.

Pavel BakaleyschikDepartment of Urology, Shamir Medical Center, Zerifin, 70300, Israel.

Amir ZarrorDepartment of Urology, Shamir Medical Center, Zerifin, 70300, Israel.

Amnon ZismanDepartment of Urology, Shamir Medical Center, Zerifin, 70300, Israel.

Ehud GnessinAssuta Medical Center, 20 HaBarzel St., Ramat HaHayal, Tel Aviv, 69710, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the first reported case of holmium laser enucleation of the prostate (HoLEP) in a patient with a mucosa-embedded nitinol-based "Butterfly" prostatic retractor device and a prior Excision and Primary Anastomosis urethroplasty for bulbar stricture. Using a 22Fr minimally invasive resectoscope (MiLEP), the device was fragmented with the laser and extracted in its entirety. Prostatic enucleation and morcellation were successfully and safely completed. Morcellation is feasible but requires caution due to device interference. This study demonstrates the feasibility of small-caliber MiLEP in patients with complex anatomy and implanted prostatic devices, expanding minimally invasive options for surgically challenging BPH cases.

Indexed as

Benign prostatic hyperplasia (BPH)Butterfly prostatic deviceHolmium laser enucleation of the prostate (HoLEP)Minimally invasive HoLEP (MiLEP)Nitinol implant extractionUrethral stricture

Identifiers

PMID42027733

DOI10.1016/j.eucr.2026.103440

PMCPMC13099344

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