UroLift® for BPH
UroLift® is a minimally invasive outpatient BPH procedure that requires a single office visit. Medications and traditional surgery are not needed with this treatment, and no tissue is destroyed. UroLift® releases the pressure your prostate places on your urethra, keeping pathways open, and easing flow. And you can rest easy knowing that impotence and sexual dysfunction are not common occurrences with UroLift®
Meeting American Urological Association (AUA) guidelines as a treatment for BPH, UroLift® may be your key to unlocking your bladder and saying goodbye to the complications that come with having an enlarged prostate. Past patients have been able to resume daily activities quickly and have left their outpatient visit with the confidence that they can go through life without needing to be within a short walk of a restroom.
Is UroLift® a Permanent Treatment?
The UroLift® implant is a permanent implant, and the treatment is intended to be permanent. Durability of UroLift® has been proven out to 5 years while maintaining improvements in symptoms, urinary flow and quality of life.* Another unique aspect of the UroLift® System is that it does not preclude retreatment or other BPH treatments, should that be needed and desired any time in the future.*
The safety and effectiveness of the UroLift® System has been demonstrated in over 1,000 patient-years of clinical data presented in peer-reviewed publications. Clinical studies have been conducted in the United States, Canada, Europe and Australia.*
How does UroLift work?
Dr. Delgadillo inserts tiny implants into your prostate, which lift and hold the two sections of the prostate (called lobes) apart. The implants are then permanently clipped and secured in place. The procedure is similar to drawing apart two curtains with curtain ties.
In doing so, the procedure immediately pushes the prostate tissue away from the urethra. This alleviates pressure on the urethra without lasering or cutting tissue. Typically, there is no need for a catheter afterwards and you can go home on the same day, rather than stay in hospital overnight.
Importantly, with UroLift, there is no retrograde ejaculation (dry orgasm) or impact upon sexual function as well as reduced risk of incontinence and scarring.
What evidence is there for the safety and effectiveness of UroLift?
UroLift was first carried out in America in 2005. Although it is relatively new in the Mexico, it has been used more extensively in America and continental Europe and two major studies provide valuable data.
The BPH6 study involved 80 patients and was the first to compare outcomes for men having TURP with men having UroLift. This study concluded: “Both PUL and TURP groups achieved significant symptom relief compared to baseline, with a superior symptom relief rate for TURP. PUL was superior to TURP in terms of quality of recovery and preservation of ejaculatory function.”
Another study, called L.I.F.T. provides a longer term perspective, evaluating how effective UroLift is three years after the procedure was carried out. Researchers assessed 206 patients to see how durable UroLift was and found that at three years, 88 per cent of patients reported continued relief from urinary symptoms. Only about one in ten patients required a repeat procedure and half of them chose repeat Urolift. The study concluded:
“Both PUL and TURP groups achieved significant symptom relief compared to baseline, with a superior symptom relief rate for TURP. PUL was superior to TURP in terms of quality of recovery and preservation of ejaculatory function.”
Recent NICE guidance (September 17, 2015) states: UroLift “should be considered as an alternative to current surgical procedures for use in a day-case setting in men with lower urinary tract symptoms of benign prostatic hyperplasia who are aged 50 years and older and who have a prostate of less than 100 ml.”
Is UroLift the right treatment for me?
This approach may be right for you to consider if:
- You have tried taking medication but find it ineffective or are experiencing side-effects
- You have a small to medium size prostate (under 100ml) and you do not have a large central prostate lobe (size and shape of prostate is assessed by the surgeon at local anaesthetic bladder examination or ultrasound preoperatively)
- You would like to preserve the full sexual function, including ejaculation (fertility is not guaranteed)
- You are in a busy job and your work schedule dictates recovery as quick as possible, however with the higher chance of requiring further surgery
- You would prefer not to stay in the hospital overnight
- You are concerned about having laser surgery or a TURP or may not be suitable for either of these more invasive approaches. We will consider your age, overall fitness and other medical conditions and advise you if this is the case
Benign prostatic hyperplasia (BPH) can have a negative impact on a man’s quality of life. The benefits of the UroLift treatment, especially for younger men, will include not only the relief of bothersome urinary symptoms, but also the preservation of ejaculation.
If you would like to know more about having the Urolift procedure, please fill out the form below.