The surgical management of large benign prostates above 100 ml remains a challenge. Various guidelines recommend Holmium laser enucleation of the prostate (HOLEP), Bipolar TURP, Thulium laser VapoEnucleation Prostate (ThuVEP), and open prostatectomy for gland size more than 80ml.^1–3 Open prostatectomy is less favoured due to increased transfusion rates, complications, and prolonged hospital stay.⁴ As a result, the experience in open Millin’s prostatectomy has dwindled with most of the procedures being done by minimally invasive methods. Although laser enucleation of the prostate is established as a standard treatment option, the limitations are the steep learning curve, limited availability of the equipment, and prolonged stress urinary incontinence.⁵

中文翻译：

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机器人 Millin 的前列腺切除术：重新审视一种古老的治疗大腺体良性前列腺增生的技术

大于 100 ml 的大型良性前列腺的手术治疗仍然是一个挑战。各种指南推荐钬激光前列腺剜除术 (HOLEP)、双极 TURP、铥激光前列腺蒸气剜除术 (ThuVEP) 以及腺体大小超过 80 毫升的开放式前列腺切除术。^1-3由于输血率增加、并发症和住院时间延长，开放式前列腺切除术不太受欢迎。⁴因此，开放式米林前列腺切除术的经验已经减少，大多数手术都是通过微创方法完成的。尽管前列腺激光摘除术已被确立为标准治疗选择，但其局限性在于陡峭的学习曲线、设备的有限可用性以及长期的压力性尿失禁。⁵