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Irreversible tide of technological advancement?

Commenting on the systematic review by Lourenco et al,1 we wish to make several specific and general points.

The contention that holmium laser enucleation holds most promise in challenging transurethral prostatic ablation (TURP) belies the fact that this technique has a steep learning curve and requires careful morcellation of the prostate in the bladder once enucleated. …