Step 3. Establishing both sides at the apex P. Gilling

Once the incisions are complete, the median lobe is enucleated starting at the verumontanum. The incisions are connected just above the verumontanum and the fibres connecting the median lobe to the capsule are divided, working side-to-side between the incisions. The beak of the resectoscope is used to elevate the lobe and provide counter-traction while working beneath it. The lobe is disconnected at the bladder neck and placed in the bladder for later morcellation.

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