HoLEP · Prevention · D39
Sparing the sphincter at the apex
Allow about two minutes for two rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.
The scenario
- HoLEP.
- The median lobe is in the bladder; early apical release comes next, before either lateral lobe.
What you see
- The verumontanum is in view.
- The apical adenoma bulges on both sides of it, with mucosa running distally onto the sphincter.
Teaching only · not for diagnosis or treatment decisions