You're referring out the cases you should own
Your partner sends the big prostates across town. You watch the referral — and the revenue — walk out. TURP bleeding, long catheter times, and retreatments keep filling your schedule instead.
For practicing urologists · HoLEP
You took the weekend course. You're still not booking the case.
We help practicing urologists become confident, independent HoLEP surgeons — without crossing the 20–50 case learning curve alone — through a proctored pathway from online foundations to live-case sign-off.
Not another weekend course. Online → simulation → hands-on lab → proctored cases in your OR → independent practice.
Bruce Gao, MD — Urologist, UC Irvine. Proposed founding faculty. Final role and bio to be confirmed with Dr. Gao before launch.
20–50 casesLearning curve — crossed with a proctor, not alone
4 stagesOnline → lab → your OR → sign-off
Any size glandSize-independent technique
Often same-dayWhen your program is set up for it
Sound familiar?
You know HoLEP is better. So why is that 120g prostate still going across town?
You've tried the shortcuts. None of them got you booking.
The weekend course with no follow-up. 40 YouTube videos. Observing one case. Telling yourself you'll "figure it out over 50 cases." You're still scared of the apical dissection — and you should be, alone.
Admin needs a business case. You have nothing to give them.
They won't approve the morcellator without numbers. You don't have the case volume, the OR time math, or the referral plan. So the program never starts.
What you actually want: to be the surgeon other urologists send their hard BPH cases to — and to never feel that knot in your stomach when a 120g prostate hits your schedule again. Independent enucleation. Same-day program. Regional referral destination.
A proctored pathway
From first incision to independent practice. Signed off, not guessed.
This isn't a weekend course you price-shop. It's a proposed pathway that takes you online → lab → live proctored cases in your OR → sign-off. Months, not years of trial and error.
1
Foundations Online
Think in the capsular plane before you ever touch a scope. Laser settings, case selection, OR setup.
- Enucleation plane anatomy
- Holmium & thulium settings by tissue
- Which glands to do first — and which to defer
2
Case Library Watch real cases
Full cases, narrated decision by decision — including capsular perforation, median lobe trouble, and what we'd do differently.
- Full-length narrated cases
- Faculty teardowns of hard cases
- Monthly case conference — submit yours
3
Hands-on Lab 2 days · small cohorts
Scope in hand. A faculty surgeon at every station. You leave with your first-case plan reviewed.
- Max 4 learners per faculty
- Morcellator safety & efficiency drills
- Plane-finding reps before a patient is involved
4
Proctorship & Sign-off In your OR
A proctor scrubs in for your first blocks — your patients, your OR team. Sign-off against a checklist. Plus the tools admin actually needs.
- Graduated complexity, case by case
- Competency sign-off + outcomes review
- Included: morcellator business-case template, GP referral kit, OR workflow
Where are you stuck?
Tell us where you are. We'll map you to your first independent case.
90 seconds. You get the stages you need, timeline to sign-off, and planning tuition.
Your recommended pathway
Your staged plan will appear here — which modules are required, which are optional, an indicative timeline, and a tuition planning range. Nothing is stored or sent; it's yours to download.
Planning tuition · founding cohort
What it costs to stop referring out
Planning estimates for discussion only — not published tuition. Final pricing after scope and host sites are confirmed.
| Program | Format | Includes | Planning estimate |
|---|---|---|---|
| HoLEP FoundationsStage 1 | Online, self-paced (6–8 hrs) | Full didactic curriculum + 12 months of case-library access | $1,250 |
| Case LibraryStage 2 | Online + monthly case conference | Narrated full cases, teardowns, submit your cases for review | $1,900 / yr |
| Applied Lab WeekendStage 3 · holeplab.com | 2 days, in person, small cohorts | Wet-lab & simulation stations, faculty at every station, first-case planning | $4,800 |
| Proctored Case BlockStage 4 | At your hospital, 2 days | Proctor scrubbed in for up to 6 cases, competency sign-off, outcomes review | $7,500 / block |
| Full Pathway BundleStages 1–4 | Sequenced over 4–6 months | Everything above, one proctored block, priority lab placement | $12,400 |
| Advanced & Teaching TrackAdvanced | By application | Very large glands, re-do cases, teach-the-teacher, proctor certification | By application |
Internal planning only — not an offer of enrolment. Final tuition, dates, and cohort details will be published only after confirmation.
What a year could look like
| Stream | Assumption | Planning revenue |
|---|---|---|
| Foundations online | 120 learners × $1,250 | $150K |
| Case Library subscriptions | 80 members × $1,900 | $152K |
| Lab weekends | 4 weekends × 12 seats × $4,800 | $230K |
| Proctored blocks | 10 blocks × $7,500 | $75K |
| Industry training partnerships | 2 partners × ~$50K | $100K |
| Year-one run-rate potential | ~$700K | |
Illustrative internal scenario, not a forecast — cohort sizes, seats, and partnerships are assumptions to pressure-test with Dr. Gao and partners before any figure is used externally.
Why surgeons finish here
- You don't cross the curve alone: 1:1 proctoring in your OR, case by case.
- You know when you're ready: stepwise sign-off, not "do 50 and hope."
- Admin says yes faster: business-case templates and referral kits included.
- Built to become the referral: the goal is regional BPH referral destination status as your outcomes grow.
Case library
The cases you're scared of, walked through.
Founding catalogue draft — titles and sequencing to be confirmed after recording and review.
Finding the plane: the first incision
Where to place the first incisions and how to know you're in the plane — not through it.
En bloc vs three-lobe: choosing your approach
When each approach wins, and the gland features that decide for you.
Capsular perforation: recognize, recover
Early cues, immediate steps, and when to change the plan.
Morcellator setup & bladder safety
Assembly, settings, and the checks that prevent bladder injury.
The median lobe that won't behave
The sequence that keeps a hard median lobe from becoming a long case.
Laser settings, gland by gland
Energy, frequency, and fibre choice — mapped to tissue.
Large glands: 150 g and up, step by step
Full large-gland case: pacing, vision, and stamina.
Your first ten cases: choosing them well
Which glands to take first — and which to defer.
Morcellation efficiency drills
Habits that cut morcellation time without cutting corners.
For hospitals & device partners
Your admin wants numbers. Here's the launch plan.
Surgeon, equipment, OR workflow, referral base — assembled as one service launch once leadership is confirmed.
1 · Readiness review
Baseline, volumes, OR capacity, referral map — before you buy anything.
2 · Equipment & workflow
Laser + morcellator spec, OR setup, nursing workflow, same-day pathway.
3 · Proctored launch
Proctor scrubs in. Graduated cases, sign-off, outcomes review.
4 · Momentum
GP education, case conferences, outcomes reporting.
Industry partnerships
Platforms get adopted when surgeons are confident on them. Structured, compliant training for your users.
- Sponsored lab days and training partnerships
- Faculty speaking and advisory programs
- New-user training for hospital rollouts
- Contracts and compliance handled for you
Operating model (planned)
The intent is for surgeons to teach while an operations partner manages partnerships, enrolment, CME administration, venues, and industry relationships. Üsan Consulting is the proposed operating vehicle; the final structure is to be confirmed. (Üsan — 雨伞, "umbrella": covering the work so surgeons can focus on surgery.)
Hospitals and industry partners start with a scoping call: tell us what you're building →
Faculty
Learn from a surgeon who does this operation
Bruce Gao, MD
Proposed founding faculty · Urologist, UC Irvine
Urologist at UC Irvine. If you've watched the videos and still won't book the case, this is the surgeon you learn beside — in the lab and in your OR. Final title and bio to be confirmed with Dr. Gao.
Pre-launch: Dr. Gao to approve final title and bio.
Visiting faculty
To be announced with each cohort
Guest surgeons from high-volume HoLEP centres would join lab weekends and case conferences, so learners see more than one pair of hands solve the same problem.
Academy alumni
The proctor pipeline
Signed-off graduates may become the next proctors. Teaching is the final stage of mastery — and how the Academy could scale beyond one surgeon.
Questions
Before you apply
Who can enrol?
Practicing urologists with endoscopy privileges. Residents/fellows welcome in Foundations and lab with a program letter; proctored blocks need independent privileges.
Is CME credit offered?
Planned for the founding cohort. Credit hours will be stated only once confirmed.
Do I need my own laser and morcellator?
Not for Foundations, library, or lab — we provide it. For proctored blocks at your site, you need the laser + morcellator (readiness review covers the plan).
Where are lab weekends held?
Host cities will be announced per cohort after venues and faculty are confirmed.
I'm a hospital or device company. How do partnerships work?
Start with the interest form below and choose "Hospital / health system" or "Industry partner." Partnerships — service launches, sponsored training, KOL programs — are scoped individually rather than sold off a rate card.
Founding cohort
Tell us where you're stuck
Founding cohort in formation. This preview generates a summary for you — nothing is submitted or stored.