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Why do techniques with worse data get popular?
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But when a patient asks me which technique has the best long-term results, lowest retreatment rate, and highest proven safety, the evidence-based answer is laser enucleation. Why do these techniques become so popular if the data isn't that good?
Well, for two reasons. The first is marketing. The companies that manufacture these devices invest millions in promotion, sponsored congresses, and training opinion leaders. And the second is the learning curve.
These techniques are easier to learn than laser enucleation, making them attractive to urologists or, or urology centres that don't want to or can't invest the time required to master laser enucleation.