Photoselective Vaporesection of the Prostate with a Front-firing Lithium Triborate Laser: Surgical Technique and Experience After 215 Procedures  Yong-Guang Gong, Run-Ming Liu, Rui Gao  European Urology  Volume 67, Issue 6, Pages 1152-1159 (June 2015) DOI: 10.1016/j.eururo.2014.12.021 Copyright © 2014 European Association of Urology Terms and Conditions

Fig. 1 (a) The 26F laser resectoscope for prostatectomy with both a front-firing and a side-firing lithium triborate laser. (b) The hemostat for managing intractable intraoperative bleeding in photoselective vaporesection of the prostate. European Urology 2015 67, 1152-1159DOI: (10.1016/j.eururo.2014.12.021) Copyright © 2014 European Association of Urology Terms and Conditions

Fig. 2 Removal of the proximal portion of the prostate. (a) Removal of the proximal portion of the median lobe. (b) Extension of the developed plane up to the 3- and 9-o’clock positions. (c) Peeling of tissues between the 12- and 3-o’clock positions of the proximal portion of the prostate off the capsule. (d) Removal of tissues between the 12- and 9-o’clock positions of the proximal portion of the prostate. European Urology 2015 67, 1152-1159DOI: (10.1016/j.eururo.2014.12.021) Copyright © 2014 European Association of Urology Terms and Conditions

Fig. 3 Removal of the distal portion of the prostate. (a) Retrograde peeling of the distal portion of the median lobe from the prostatic wall. (b) Removal of tissues between the 12- and 3-o’clock positions of the distal portion of the prostate. (c) Removal of tissues between the 12- and 9-o’clock positions of the distal portion of the prostate. (d) Removal of remaining tissues of the distal portions of the left lateral lobe (between the 5- and 3-o’clock positions) and the right lateral lobe (between the 7- and 9-o’clock positions). European Urology 2015 67, 1152-1159DOI: (10.1016/j.eururo.2014.12.021) Copyright © 2014 European Association of Urology Terms and Conditions