Laser Enucleation

Minimally invasive laser enucleation (MILEP) is used to treat benign prostatic hyperplasia (BPH). Holmium (HoLEP) or thulium (ThuLEP) laser enucleation of the prostate uses a laser resectoscope to enucleate the prostate tissue blocking the urinary tract. A morcellator and a morcescope are used to cut the prostate and remove the tissue.

To ensure your patients’ comfort, we have developed the thinnest laser resectoscope in the entire medical technology sector. With the smallest diameter currently on the market, we lie far below the standard of 26 Fr.: our Slim HoLEP lies at 22 Fr., while the Ultra Slim HoLEP is at just 18.5 Fr.

High-Flow/Metal Inner Sheath

22 Charr. MiLEP System

UltraSlim 18,5 Charr. MiLEP System

Introduced at EAU 2026 and developed in collaboration with Dr. Felipe C. A. de Figueiredo, the MiLEP High-Flow/Metal Sheath is the latest update for MiLEP 22 Charr. and 18.5 Charr. enucleoscopes. The new metallic inner sheath is designed for higher outflow and a clearer endoscopic field during laser enucleation - particularly during initial apical dissection and early release. These versions feature a metallic distal tip for increased robustness in case of unintended laser contact. A standard-flow metal option is also available.

  • Better outflow for improved washout and better visibility during laser resection
  • More stable continuous flow, supporting controlled dissection in critical steps
  • Robust metallic distal tip (instead of ceramic) for increased durability in case of unintended laser contact
  • Available as High-Flow (22 Charr. or 18.5 Charr.) plus Standard-Flow Metal (22 Charr.)

Brochure
MiLEP Highflow Tips

MiLEP Highflow Tips

The SlimHoLEP with an outer diameter of 22 Fr. offers the smallest resectoscope that enables resection, morcellation and haemostasis with a single shaft. This minimally invasive laser enucleation (MILEP) is the miniaturisation of the previous standard with the same incision and image quality. It protects the ureter and minimises the risk of complications, strictures or incontinence.
Watch the Video of the complete surgical procedure HERE

Catalog

MiLEP System - the unique 22 Charr. Morcescope

22 Charr. Laser resectoscope system

22 Charr. Laser resectoscope system

22 Charr. Laser resectoscope system with Morcescope

22 Charr. Laser resectoscope system with Morcescope

MiLEP Siebkorb

MiLEP Siebkorb

The 18.5 Fr. resectoscope is the smallest resectoscope available for laser prostate resection. It generates minimal urethral trauma and, combined with the morcescope, is ideal for small prostatic hyperplasia (> 80 g) in narrow anatomies.

Catalog

Video-Beschreibung

18.5 Charr. Laser resectoscope

18.5 Charr. Laser resectoscope

18.5 Charr. Laser resectoscope with Morcescope

18.5 Charr. Laser resectoscope with Morcescope

The 26 Fr. system is the proven standard in laser enucleation.

26 Charr. Laser resectoscope

26 Charr. Laser resectoscope

Laser resectoscope shaft and laser guide rods

Laser resectoscope shaft and laser guide rods

Do you have any questions?

Get in touch with us: we are here to help you and will be happy to answer your questions. At RZ-Medizintechnik, we put you, your wishes and concerns first.

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