Prostatic urethral lift

Prostatic urethral lift (marketed as Urolift) is a minimally invasive procedure for the treatment of benign prostatic hyperplasia. This procedure can be done under local anesthesia in an outpatient consultation.[1]

Procedure

This procedure is done through cystoscopy and it consists on the placement of an implant that compress the lateral lobes of the prostate that cause the obstruction, dilating the prostatic urethra.[2]

Benefits

This procedure likely improves quality of life without additional negative side effects when compared with a sham surgery.[3] Compared with transurethral resection of the prostate, the standard surgery for treating benign prostatic hyperplasia, this procedure may be less effective in reducing urinary symptoms but may preserve ejaculation and have fewer unwanted effects on erections.[3]

Harms

The most common side effects include dysuria and hematuria (typically resolving within 2–3 weeks) due to the manipulation of the prostatic urethra, although it does not require routine catheterization due to its less invasive nature.[1]

References
  1. Sountoulides, Petros; Karatzas, Anastasios; Gravas, Stavros (January 2019). "Current and emerging mechanical minimally invasive therapies for benign prostatic obstruction". Therapeutic Advances in Urology. 11: 1756287219828971. doi:10.1177/1756287219828971. ISSN 1756-2872. PMC 6376539. PMID 30792821.
  2. Garcia, Cindy; Chin, Peter; Rashid, Prem; Woo, Henry H. (March 2015). "Prostatic urethral lift: A minimally invasive treatment for benign prostatic hyperplasia". Prostate International. 3 (1): 1–5. doi:10.1016/j.prnil.2015.02.002. ISSN 2287-8882. PMC 4494639. PMID 26157759.
  3. Jung, Jae Hung; Reddy, Balaji; McCutcheon, Karen Ann; Borofsky, Michael; Narayan, Vikram; Kim, Myung Ha; Dahm, Philipp (25 May 2019). "Prostatic urethral lift for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia". The Cochrane Database of Systematic Reviews. 5: CD012832. doi:10.1002/14651858.CD012832.pub2. ISSN 1469-493X. PMC 6535104. PMID 31128077.
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