The "Transurethral Prostate Anatomical Enucleation Technical Intensive Class" was held in Guangzhou from March 10 to 11, 2025. In the training class, Professor Liu Chunxiao from the Department of Urology of Zhujiang Hospital of Southern Medical University used the 980nm semiconductor laser treatment machine (HU-150 type) produced by Long Huiheng Company to teach the students step-by-step surgical teaching.

　　Transurethral prostate anatomical enucleation not only thoroughly enucles the hyperplastic glands, greatly reducing the recurrence rate, but also has little trauma, which mostly allows daytime surgery;  it can also effectively avoid prostate sphincter damage and improve the quality of postoperative sexual life of patients. The two surgical videos in this article have been edited, lasting about 6 minutes. Welcome to click to watch.

　　Anatomical enucleation steps:

　　1. Interurethral observation

　　2. Looking for surgical envelope: blunt peeling near the essence

　　3. Excision of the middle leaf: 5 and 7 points to ditch, blunt peeling + sharp cutting

　　4. Excision of both sides of the leaves: reverse blunt peeling + sharp cutting

　　5. Pre-combination treatment: incision of urethral mucosal flap at 12 o'clock

　　6. Completely separate the two sides of the lobes and push them into the bladder

　　7. Excite the crushing of the glands

　　Notes:

　　1. When eliminating the middle lobe, peel back the surgical envelope plane at 6 points, pay attention to the arc and force upward, and avoid separation horizontally and forward.

　　2. Pay attention to keeping a high-rise bladder neck to reduce the risk of retrograde ejaculation.

　　3. When exciting the left lobe, the mucosa can be cut at 12 o'clock in advance. When the counterclockwise blunt peels off, it can meet at 12 o'clock.

　　4. Invert the mirror body, you can see the mucosal flap formed by the 12-point lobe glands on both sides and the urethral mucosa. Take the midpoint of the mucosal flap and cut it horizontally (do not cut the position too high or too low). Properly retain 12 points of urethral mucosal tissue to avoid loss of urethral sphincter.

　　5. Generally, the connection between the gland and the bladder neck is retained at 5 to 7 points, and then the disconnection is carried out, so that the free glands will not float into the bladder.

　　6. Pay attention to stop bleeding during the operation. The 980nm semiconductor laser has a good effect in controlling bleeding, and the wound surface is clear, which is especially suitable for anatomical enucleation.

　　Student feedback:

　　The students were amazed at the surgical instruments and Professor Liu's superb surgical skills. Professor Liu explained it very carefully. The students said that after attending the study class, they were more confident in the subsequent removal. Some students said that the next day, it was indeed very good to pull the catheter.

　　Introduction to the craftsman

Professor Liu Chunxiao

　　Chief physician, PhD, PhD supervisor, Vice Chairman of the Urology Branch of Guangdong Medical Association, Deputy Head of the Urology Engineering Group of the Chinese Medical Association, Member of the International Urology Society (SIU), Member of the European Urology Society Overseas (EUA), Member of the American Urology Society (AUA), Honorary Member of the Royal Medical College of the United Kingdom, Honorary Fellow of the Royal Thai Academy of Surgery, Editorial Committee of the Chinese Journal of Laparoscopic Urology. In 2005, the original "transurethral prostate enucleation" was created and has been recognized by colleagues at home and abroad. The "New Theory and Precision Surgical Intervention System for Prostate Wound Repair" that participated in the completion won the second prize of the 2020 National Science and Technology Progress Award. In 2020, he won the "Golden Lancet Award". He presided over the national continuing education project "Transurethral Prostate Anatomical Enucleation Study Class" and has successfully held 51 periods; he presided over the national continuing education project "Zhujiang International Urology High-tech Forum" and has successfully held for 26 years.