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green light XPS unedited case completion and CYO lithop pxi 66 G trilobar prostate in an anti-coagulated patient the following case is of a 71-year-old gentleman on cumin for a metallic heart valve size of the prostate is 66 gr along with a 2 cm intravesical median lobe there were also an Associated three bladder stones measuring 1.5 CM note the urinary parameters with a residual of almost 425 mlit this gentleman had a catheter for over 6 month until finally he was referred to our Institution for green light surgery here we take you within 35 minutes of the beginning of the surgery in which the floor of the prostate was cleared followed by the patientamp;#39;s left lobe of the prostate we are now following the right capsule of the prostate after making our 11:00 incision from our previous publication we make a 5:00 incision to a 7:00 incision and this clears the floor of the adenoma tissue down to the capsule we then make a 1:00 incision which then allows the left low to be dropped an