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green light xps standardized technique for optimal outcomes surgery and narration by dr kevin zorn the following educational video will highlight the technical aspects of initial steps of the surgery which include the five and seven oclock incisions with the treatment of the floor after careful cystoscopic inspection the laser fiber is brought in and initially in this instances where there are kissing lobes taking down the adenomas tissue and treating the mucosa prior to engaging in the five oclock incision here we can see a very vascular mucosa which is slowly treated at a low setting of 80 watts with the vaporization technique a very slow sweeping speed of two seconds at least per sweep is recommended for optimal outcomes note that the working space between the active laser fiber and the tissue is less than one to two millimeters this can be gauged as the cap of the fiber is 1.8 millimeters and serves as a good ruler for judging this distance during treatment upon each pass the ti