I presented a live surgical case at the Canary Islands urology society meeting. The patient presented with a 250 cc prostate. I performed a smooth enucleation using the Holmium laser. During the morcellation phase, the procedure became challenging due to the presence of large stones, which I describe as beach balls. Despite the volume, the enucleation proceeded without complications. I completed the morcellation safely. The surgical video is available online for review. I demonstrated specific techniques to manage the difficult morcellation in large glands. This case covers the management of high-volume prostates.
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