Multicentre prospective evaluation of the learning curve of holmium laser enucleation of the prostate (Ho <scp>LEP</scp> )

Even in a prospective training structure, HoLEP has a steep learning curve exceeding 20 cases, with almost half of our centres choosing to abandon or not to continue with the technique. Operating time and difficulty of the enucleation seem the most important problems for a beginner. A more intensely mentored and structured mentorship programme might allow safer adoption of the procedure.