HoLEP can be divided into four phases: inspection, enucleation, hemostasis and morcellation. Briefly, a plane was created between the adenoma and the surgical capsule early after the first incision of the gland from the bladder neck to the level of the verumontanum. The gland was enucleated in two or three lobes depending on the anatomy and the prominence of the grooves on either side of the middle lobe.